Individual
ANDREA BONZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 WITTINGTON PL STE 175, DALLAS, TX 75234-1905
(214) 442-4470
Mailing address
1680 S HURON RD APT 10, GREEN BAY, WI 54311-8006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5652
WI
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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