Tyra Bonanno
Tyra Bonanno is an Occupational Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
7151 Navajo Rd Apt 5203San Diego, CA 92119-4615
Phone: (619) 980-2930
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 25689 (CA) |
|---|
Record details
| NPI number | 1306651716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 12, 2025 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | February 12, 2025 |
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