Individual
LISA BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3805 MARLANE DR, GROVE CITY, OH 43123-9224
(614) 801-3000
Mailing address
3805 MARLANE DR, GROVE CITY, OH 43123-9224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009187
OH
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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