Individual
BONNIE ROCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
208 MERCER RD., ELIZABETHTOWN, NC 28337
(910) 862-8181
Mailing address
1211 PRESERVATION WAY UNIT 304, WILMINGTON, NC 28405-4355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1012
NC
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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