Individual
ASHLEY JOVANNA BONGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14766 WASHINGTON AVE, SAN LEANDRO, CA 94578-4220
(510) 352-2211
Mailing address
200 COMPTON CIR APT C, SAN RAMON, CA 94583-1652
(510) 355-6851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16133
CA
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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