Individual
CARLY BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1R NEWBURY ST, PEABODY, MA 01960-4065
(978) 535-3355
Mailing address
7 CLEMENTI LN, METHUEN, MA 01844-6480
(978) 609-6002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14352
MA
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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