Individual provider · Type 1 NPI

Kimberly Ann Bonham, OTR/L

Occupational Therapist · Dallas, PA

NPI number 1699661819 Active

Practice location

64 Ridgway Dr Ste 1
Dallas, PA 18612-9263

Fax (570) 255-4575

Mailing address

PO Box 306
Bear Creek, PA 18602-0306

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOC001837L (PA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1699661819

Kimberly Ann Bonham, OTR/L's National Provider Identifier is 1699661819, issued on Jun 16, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Dallas, PA. The record was last updated on Jun 16, 2025.