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Individual

MS. REBECCA BLAIR BONIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA OTR/L

Contact information

Practice address
300 HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-1056
Mailing address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-1056

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
963
GA

Other

Enumeration date
08/20/2006
Last updated
07/31/2023
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