Individual
BONNIE MONTANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1154 E HAWKINS PKWY, LONGVIEW, TX 75605-7975
(903) 663-2750
Mailing address
1807 SHENANDOAH CT N, LONGVIEW, TX 75605-2037
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210103
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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