Individual
JESSIE L BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
2420 ASHFORD DR, CLOVIS, NM 88101-4470
(575) 935-1177
(575) 935-1178
Mailing address
2420 ASHFORD DR, CLOVIS, NM 88101-4470
(575) 935-1177
(575) 935-1178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3497
NM
Other
Enumeration date
03/10/2016
Last updated
04/15/2016
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