Individual
HEIDI P BONAROTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(480) 510-4219
Mailing address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(480) 510-4219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1472
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791568
—
AZ
Enumeration date
04/24/2007
Last updated
12/09/2008
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