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Individual

WILLIAM DIBELLO BONUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
13900 BENNETT RD, NORTH ROYALTON, OH 44133-3808
(440) 237-7966
Mailing address
7756 HARLEY HILLS DR, NORTH ROYALTON, OH 44133-3662
(440) 552-6451

Taxonomy

Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OTA.05509
OH

Other

Enumeration date
12/16/2015
Last updated
12/16/2015
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