Individual
PATRICIA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 174TH ST, TINLEY PARK, IL 60477-3156
(708) 772-9546
Mailing address
5555 174TH ST, TINLEY PARK, IL 60477-3156
(708) 772-9546
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000185
IL
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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