Individual
MISS BONNIE F EISENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
2010 N 49TH AVE, HOLLYWOOD, FL 33021-4008
(301) 537-5955
Mailing address
2010 N 49TH AVE, HOLLYWOOD, FL 33021-4008
(301) 537-5955
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
OT9317
FL
225X00000X
Occupational Therapist
OT9317
FL
Other
Enumeration date
05/20/2009
Last updated
02/20/2017
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