Individual
MRS. KATHRYN ALLISON BONGIANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2150 S COUNTRY CLUB DR, STE 20, MESA, AZ 85210-6809
(480) 398-4280
(480) 398-4278
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
(480) 398-4278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6205
AZ
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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