Individual
BONNIE BLADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
801 ARGONNE DR, BALTIMORE, MD 21218-1943
(410) 899-5054
Mailing address
801 ARGONNE DR, BALTIMORE, MD 21218-1943
(410) 899-5054
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00182
MD
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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