KRISTY JO BONASSO NPI 1851894109

NPI Information

NPI: 1851894109
Provider Name: KRISTY JO BONASSO
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
24 FRANK LLOYD WRIGHT DR
ANN ARBOR, MI
ZIP 48105
Phone: (616) 920-4192
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Kristy Jo Bonasso is a hand occupational therapist in Ann Arbor, MI. Kristy Jo Bonasso NPI is 1851894109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24 FRANK LLOYD WRIGHT DR
ANN ARBOR, MI
ZIP 48105-484
Phone: (616) 920-4192

The enumeration date for this NPI number is 3/13/2018 and was last updated on 3/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	5201005302	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003878539	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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