Individual
BONNIE BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-5222
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-5222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05452
OH
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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