Individual
JULIE TESSLER BONAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
3635 S CLYDE MORRIS BLVD, ST. 300, PORT ORANGE, FL 32129-2300
(386) 258-8080
(386) 258-8177
Mailing address
3635 S CLYDE MORRIS BLVD, ST. 300, PORT ORANGE, FL 32129-2300
(386) 258-8080
(386) 258-8177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT5228
FL
225XH1200X
Hand Occupational Therapist
OT5228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892520800
—
FL
01
—
Z7064
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
07/29/2006
Last updated
07/07/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us