Individual
MS. BONNIE COLLEEN MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., OT
Contact information
Practice address
2701 RINCON CT, SANTA FE, NM 87505-5271
(505) 603-8224
Mailing address
2701 RINCON CT, SANTA FE, NM 87505-5271
(505) 603-8224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2693
NM
225X00000X
Occupational Therapist
OT427
CA
Other
Enumeration date
11/03/2009
Last updated
08/10/2010
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