Individual
JODI LYNN BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
135 REICHART AVE, WINTERSVILLE, OH 43953-4050
(740) 266-6940
Mailing address
135 REICHART AVE, WINTERSVILLE, OH 43953-4050
(740) 266-6940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 03783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA 03783
OHIO COTA LICENSURE
OH
Enumeration date
08/06/2009
Last updated
08/06/2009
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