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Individual

ELIZABETH BONICHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 11361
FL
225X00000X
Occupational Therapist
Primary
OT19675
FL

Other

Enumeration date
02/21/2012
Last updated
12/10/2018
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