Individual
BONNY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
640 W MARKET ST, AKRON, OH 44303-1413
(330) 762-5425
Mailing address
640 WEST MARKET ST, AKRON, OH 44303
(330) 762-5425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT001251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT001251
O.T.
OH
Enumeration date
03/09/2007
Last updated
07/23/2008
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