Provider Demographics
NPI:1730201997
Name:BOND, JOANNA RACHEL (OTRL)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:RACHEL
Last Name:BOND
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B2 COLONIAL DR
Mailing Address - Street 2:UNIT 11
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-7321
Mailing Address - Country:US
Mailing Address - Phone:617-694-7258
Mailing Address - Fax:
Practice Address - Street 1:B2 COLONIAL DR
Practice Address - Street 2:UNIT 11
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-7321
Practice Address - Country:US
Practice Address - Phone:617-694-7258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8815225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist