Individual
MRS. BONITA MARIE DOELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. OTRL
Contact information
Practice address
911 SUMMIT DR, QUINCY, IL 62305-1353
(217) 224-3259
(217) 224-3259
Mailing address
911 SUMMIT DR, QUINCY, IL 62305-1353
(217) 224-3259
(217) 224-3259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
005107
MO
225X00000X
Occupational Therapist
01523
IA
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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