Bonamo, Julie Tessler

Bonamo, Julie Tessler is an individual health care provider with primary practice located at 3635 S Clyde Morris Blvd St. 300, Port Orange FL 32129-2300. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Bonamo, Julie Tessler can be contacted via phone (386) 258-8080.

Contact Information

Primary practice address
3635 S Clyde Morris Blvd St. 300 Port Orange FL 32129-2300
Fax: (386) 258-8177
Website:

Profile Details

NPI number 1699789925
LBN Legal business name Bonamo, Julie Tessler
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Jul 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699789925 NPPES
Florida MEDICAID 892520800
Florida Other Z7064

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