Kelsey Bonavida

NPI #1992199350 in Firestone, Colorado

Provider Information

NPI Number: 1992199350
Entity Type: Individual
Name: Kelsey Bonavida
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 24, 2015
Last Updated: Jun 19, 2019

Practice Location

Address: 11169 E I25 FRONTAGE RD
City: Firestone
State: Colorado
ZIP Code: 80504-5276
Phone: (720) 378-6670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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