Individual
MRS. BONNIE ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
215 E NEW HAMPSHIRE ST, ORLANDO, FL 32804-6403
(407) 895-4400
(407) 264-8671
Mailing address
9826 OSPREY LANDING DR, ORLANDO, FL 32832-5994
(407) 895-4400
(407) 264-8671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z139R
BLUE SHIELD OF FLORIDA
FL
Enumeration date
03/05/2007
Last updated
04/29/2010
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