Individual
ANDRE BONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10330 HICKMAN MILLS DR, BUILDING II, KANSAS CITY, MO 64137-1618
(816) 501-5138
(816) 777-0626
Mailing address
10330 HICKMAN MILLS DR, BUILDING II, KANSAS CITY, MO 64137-1618
(816) 501-5138
(816) 777-0626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005089
MO
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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