Individual
MS. BONNIE CLARE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3854 SUNSET COVE DR, PORT ORANGE, FL 32129-1916
(386) 852-3702
Mailing address
3854 SUNSET COVE DR, PORT ORANGE, FL 32129-1916
(386) 852-3702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6816
FL
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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