Individual
JENNIFER L BONANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3514 UNIVERSITY DR, SUITE 8, DURHAM, NC 27707-6247
(919) 493-7002
Mailing address
3514 UNIVERSITY DRIVE, SUITE 8, DURHAM, NC 27707
(919) 493-7002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8630
NC
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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