Individual
BONNIE JO MEERDINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(386) 756-4395
(386) 944-7202
Mailing address
13380 DOOLITTLE RD, WATTSBURG, PA 16442-1308
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04643
OH
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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