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
Phone: (386) 258-8080
Fax: (386) 258-8177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT5228 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT5228 | Florida |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699789925 | NPPES |
| Florida | MEDICAID | 892520800 | |
| Florida | Other | Z7064 |
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