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Individual

BONITA SONYA AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 DEMING ST, SOUTH WINDSOR, CT 06074-3759
(860) 922-7333
Mailing address
10 HARWICH ST, HARTFORD, CT 06114-1729

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
225X00000X
Occupational Therapist
225XE0001X
Environmental Modification Occupational Therapist
225XL0004X
Low Vision Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist

Other

Enumeration date
07/12/2018
Last updated
07/12/2018
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