Provider Demographics
NPI:1992440507
Name:BONDY, HEATHER (COTA/L)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:BONDY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3536 SANTA CARLOTTA ST
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-1115
Mailing Address - Country:US
Mailing Address - Phone:818-433-8057
Mailing Address - Fax:
Practice Address - Street 1:3536 SANTA CARLOTTA ST
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-1115
Practice Address - Country:US
Practice Address - Phone:818-433-8057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant