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Michelle Bonaventura

Occupational Therapist in McKeesport, PA. Individual provider (NPI-1).

NPI number1982107041
StatusActive
Last updated in NPPESMar 15, 2018

Details

NPI
1982107041
Entity type
Individual (NPI-1)
Name
Michelle Bonaventura
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2018
Last updated
Mar 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOC015372PAYes

Practice location

625 Walnut St
McKeesport, PA 15132-2806

Phone 412-673-5005

Mailing address

625 Walnut St
McKeesport, PA 15132-2806

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