Individual
JENNIFER BONIFANT HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18131 SLADE SCHOOL RD, SANDY SPRING, MD 20860-1346
(301) 260-1075
Mailing address
14108 JASON CT, MOUNT AIRY, MD 21771-5733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07200
MD
Other
Enumeration date
06/12/2015
Last updated
01/14/2020
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