Provider Demographics
NPI:1891170692
Name:BON TEMPO, SOFIA EVELYN (BS)
Entity Type:Individual
Prefix:MISS
First Name:SOFIA
Middle Name:EVELYN
Last Name:BON TEMPO
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Gender:F
Credentials:BS
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Mailing Address - Street 1:340 MAPLE ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3200
Mailing Address - Country:US
Mailing Address - Phone:508-624-0304
Mailing Address - Fax:508-624-0391
Practice Address - Street 1:340 MAPLE ST
Practice Address - Street 2:SUITE 410
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3200
Practice Address - Country:US
Practice Address - Phone:508-624-0304
Practice Address - Fax:508-624-0391
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist