Individual
KIMBERLY ANN BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
64 RIDGWAY DR STE 1, DALLAS, PA 18612-9263
(570) 255-4578
(570) 255-4575
Mailing address
PO BOX 306, BEAR CREEK, PA 18602-0306
(570) 313-9281
(570) 472-3184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001837L
PA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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