Individual
KRISTEN BONFIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1050 MEDICAL CENTER BLVD, MARRERO, LA 70072-3144
(504) 347-0777
Mailing address
1020 W WILLIAM DAVID PKWY, METAIRIE, LA 70005-1643
(504) 715-8202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
306625
LA
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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