Individual
KELLY BONUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14498
FL
Other
Enumeration date
02/11/2013
Last updated
01/20/2016
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