Mrs. Evelyn Jean Bonano
Occupational Therapist - Pediatrics
3500 Regency Pkwy 120
Cary
, North Carolina 27511-8519
Mrs. Evelyn Jean Bonano
Occupational Therapist - Pediatrics
3500 Regency Pkwy 120
Cary
, North Carolina 27511-8519
(919) 847-9350
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Evelyn Jean Bonano
- 6813 Candlewood Dr
- Raleigh, NC
- Zip : 27612-1701
- Phone : (919) 847-9350
Second Address
- Mrs. Evelyn Jean Bonano
- 3500 Regency Pkwy 120
- Cary, NC
- Zip : 27511-8519
- Phone : (919) 465-3966
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 2249 | NC |
National Provider Identifier
| NPI | 1073653226 |
|---|---|
| Provider Name | Mrs. Evelyn Jean Bonano |
| First Address | Raleigh, NC 27612-1701 |
| Second Address | Cary, NC 27511-8519 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1134T | BCBS OF NC (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.