Angie Bonifas, OTR/L is a
Occupational Therapist - Pediatrics based in Paulding, Ohio. Angie Bonifas is licensed to practice in Ohio (license number 003093) and her current practice location is
202 N Cherry St, Paulding, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 399-4711.
NPI number for Angie Bonifas is 1790185551 and her current mailing address is Po Box 176, 202 N Cherry St, Paulding, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790185551.
Healthcare Provider's Profile
Full Name | Angie Bonifas |
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Gender | Female |
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Speciality | Occupational Therapist - Pediatrics |
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Location | 202 N Cherry St, Paulding, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790185551
- Provider Enumeration Date: 08/29/2014
- Last Update Date: 08/29/2014
Medical Identifiers
Medical identifiers for Angie Bonifas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790185551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 003093 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angie Bonifas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angie Bonifas, OTR/L Po Box 176, 202 N Cherry St, Paulding, OH 45833 Ph: (419) 399-4711 | Angie Bonifas, OTR/L 202 N Cherry St, Paulding, OH 45879-1211 Ph: (419) 399-4711 |
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