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Individual

BONNIE G WAREHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
208 LAKEMONT PARK BLVD, EARLY INTERVENTION, ALTOONA, PA 16602
(814) 944-8177
Mailing address
816 PENN ST, HOLLIDAYSBURG, PA 16648-1550
(814) 696-6212

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
12/08/2006
Last updated
07/08/2007
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