Individual
BONNIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
500 W LAUREL ST, FRACKVILLE, PA 17931-2018
(570) 874-0696
Mailing address
1439 WYNONAH DR, AUBURN, PA 17922-9211
(570) 573-9794
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008357
PA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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