Individual
ANDREA MARIE BONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1524 MCHENRY AVE, MODESTO, CA 95350
(209) 557-6200
(209) 557-6239
Mailing address
801 ATHERTON DR R245, MANTECA, CA 95337
(408) 506-2577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8666
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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