Individual
MRS. BONNIE JEAN ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 HORACE ST, TOLEDO, OH 43606-4859
(419) 671-4200
Mailing address
1075 HORACE ST, TOLEDO, OH 43606-4859
(419) 671-4200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-00351
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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