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Individual

MISS BONNIE ANN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
60 PARKHURST DR., PONTIAC, MI 48342
(248) 451-7545
Mailing address
3382 CREEKSIDE BLVD, BURTON, MI 48519-2848
(810) 285-1094

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008032
MI

Other

Enumeration date
05/23/2013
Last updated
05/23/2013
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