Individual
MISS ASHLEY TAYLOR BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10 S 9TH ST STE 4, NOBLESVILLE, IN 46060-2631
(317) 204-3736
Mailing address
12505 PATNOE DR, SAINT JOHN, IN 46373-9244
(708) 203-4930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003501A
IN
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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