Provider Demographics
NPI:1669501193
Name:BONDS, ROGENIA MEANS (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ROGENIA
Middle Name:MEANS
Last Name:BONDS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14622 POWELL DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5523
Mailing Address - Country:US
Mailing Address - Phone:361-387-1702
Mailing Address - Fax:
Practice Address - Street 1:4402 CASTENON ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416-1431
Practice Address - Country:US
Practice Address - Phone:361-878-1741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100220225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist