Individual
PAUL BONZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
75A LIVINGSTON ST, ASHEVILLE, NC 28801-4353
(828) 281-7171
Mailing address
75 MOULTON RIDGE RD, KENSINGTON, NH 03833-5508
(561) 504-9542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2065
NC
225X00000X
Occupational Therapist
OT11395
FL
225XH1200X
Hand Occupational Therapist
Primary
2231
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#2065
STATE LICENSE
NC
01
—
2231
STATE LICENSE
NH
Enumeration date
08/30/2006
Last updated
08/12/2019
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