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Contact Information

CARLY BONANNO
1R NEWBURY ST
PEABODY, MA01960-4065
 Phone: 978-535-3355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CARLY BONANNO · (Female)

NPI # 1780338004
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2022
Last updated 02/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 14352
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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