Individual
AMANDA BONANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9243
(623) 242-6908
Mailing address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9243
(623) 242-6908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
023881
NY
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-009772
AZ
Other
Enumeration date
09/08/2019
Last updated
10/10/2025
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