Mary Jo Bonczek, MS, OTR/L

NPI #1619243961 in Pittston, Pennsylvania

Provider Information

NPI Number: 1619243961
Entity Type: Individual
Name: Mary Jo Bonczek, MS, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MS, OTR/L
Enumeration Date: Mar 30, 2012
Last Updated: Mar 30, 2012

Practice Location

Address: 2080 N TOWNSHIP BLVD
City: Pittston
State: Pennsylvania
ZIP Code: 18640-3547
Phone: (570) 883-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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