Individual
BONNIE KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10168 W SAMPLE RD, CORAL SPRINGS, FL 33065-3938
(954) 753-4441
(954) 346-8139
Mailing address
6063 GRAND CYPRESS CIR W, COCONUT CREEK, FL 33073-2341
(386) 697-6430
(954) 227-5418
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT12463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891745100
—
FL
Enumeration date
02/14/2007
Last updated
06/15/2010
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