Individual
SARAH BONICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
7056 S SHAWNEE ST, AURORA, CO 80016-7036
(303) 660-6493
Mailing address
PO BOX 630001, LITTLETON, CO 80163-0001
(303) 660-6493
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0007491
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TBD
—
CO
Enumeration date
07/08/2022
Last updated
07/08/2022
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