Individual
JULIA P BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1102 ROSE HILL DRIVE, CHARLOTTESVILLE, VA 22903
(434) 979-8628
(434) 979-8536
Mailing address
1102 ROSE HILL DRIVE, CHARLOTTESVILLE, VA 22903
(434) 979-8628
(434) 979-8536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002008
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453731276
TAX ID
VA
Enumeration date
12/08/2011
Last updated
12/08/2011
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