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Individual

ERICA S BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
65 DUTCH LN, COLUMBUS, MS 39702-5523
(662) 241-4545
(662) 241-4025
Mailing address
1200 CORPORATE DRIVE, SUITE 400, BIRMINGHAM, AL 35242
(423) 206-4158
(717) 773-4654

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3577
MS

Other

Enumeration date
02/12/2021
Last updated
02/12/2021
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