Individual
MRS. BONNIE JEAN COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 940-6433
Mailing address
2375 CHAUCER LN, WINSTON SALEM, NC 27107-4411
(336) 782-4366
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4561
NC
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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