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Individual

CALEB BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
100 PARK PL, SELMA, AL 36701-7743
(334) 872-3471
Mailing address
388 HOGGLE RD, VALLEY GRANDE, AL 36701-9141
(205) 457-4151

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5783
AL

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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