Individual
BONNIE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 ADAMS ST, LOGAN TWP, NJ 08085-1569
(856) 430-5204
Mailing address
53 ADAMS ST, 53 ADAMS ST, LOGAN TWP, NJ 08085-1569
(856) 430-5204
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003059L
PA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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