Individual
MRS. ASHLEY DAWN BONAVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HUSKIES WAY, CADIZ, OH 43907-1257
(740) 942-7800
Mailing address
100 HUSKIES WAY, CADIZ, OH 43907-1257
(740) 942-7800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006407
OH
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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