Individual
BONNY JEAN MOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
920 E FM 1187, CROWLEY, TX 76036-4349
(817) 297-5600
Mailing address
4100 COUNTY ROAD 919, CROWLEY, TX 76036-5322
(817) 319-4070
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208542
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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