Individual
CHAVONE BONWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 CORRINGTON AVE, GRANDVIEW, MO 64030-2732
(816) 590-2127
Mailing address
13000 CORRINGTON AVE, GRANDVIEW, MO 64030-2732
(816) 590-2127
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01626
KS
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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