Individual
BONNIE MARIE SMITH-MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5270 ELVAS AVE, SACRAMENTO, CA 95819-2332
(916) 346-9352
Mailing address
9521 DURANGO WAY, ELK GROVE, CA 95624-1905
(916) 509-6825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5622
CA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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