Individual
NICOLE SUZANNE KURTHAUSEN-BON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
350 JOHN MUIR PKWY STE 155, BRENTWOOD, CA 94513-5190
(925) 939-8585
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13350
CA
225XH1200X
Hand Occupational Therapist
Primary
13350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13350
MEDICAL LICENSE
CA
Enumeration date
04/15/2013
Last updated
09/29/2020
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