Individual
JILL ANDREA BONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1417 PARKVIEW DR, ELIZABETH CITY, NC 27909-6533
(252) 338-4044
Mailing address
1417 PARKVIEW DR, ELIZABETH CITY, NC 27909-6533
(252) 338-4044
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4625
NC
Other
Enumeration date
05/29/2008
Last updated
05/03/2018
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