Individual
ELIZABETH BONICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8415 SW 24TH ST, MIAMI, FL 33155-2305
(305) 262-6868
Mailing address
11548 SW 250TH ST, HOMESTEAD, FL 33032-6040
(305) 781-3601
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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