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Kristen Elena Bonghi, COTA/L

Occupational Therapy Assistant in Charlotte, NC. Individual provider (NPI-1).

NPI number1386830669
StatusActive
Last updated in NPPESSep 19, 2007

Details

NPI
1386830669
Entity type
Individual (NPI-1)
Name
Mrs. Kristen Elena Bonghi
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 19, 2007
Last updated
Sep 19, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant3219NCYes

Practice location

9521 Oswald Ln
Charlotte, NC 28277-6638

Phone 704-752-1687

Mailing address

9521 Oswald Ln
Charlotte, NC 28277-6638

Phone 704-752-1687

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