Individual
BETHANY LAUREL BONDURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L, CLT
Contact information
Practice address
305 CHERRY ST, PHILADELPHIA, PA 19106-1803
(800) 974-6383
Mailing address
1870 SUNSET DR, WHITEHALL, PA 18052-4126
(484) 866-6392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010535
PA
Other
Enumeration date
10/28/2008
Last updated
02/15/2019
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