Individual
BONNIE JEAN BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10949 PARNU ST, NAPLES, FL 34109-1405
(239) 398-7145
Mailing address
10949 PARNU ST, NAPLES, FL 34109-1405
(239) 398-7145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10746
FL
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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