Individual
BONNY HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8020 RIVER STONE DR, FREDERICKSBURG, VA 22407-8761
(540) 834-2500
Mailing address
1116 HAMPTON ST, FREDERICKSBURG, VA 22401-2602
(321) 368-2350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002173
VA
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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