Individual
BONNIE MANIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
113 PETRIE AVE, BRYN MAWR, PA 19010-1510
(443) 223-9946
Mailing address
113 PETRIE AVE, BRYN MAWR, PA 19010-1510
(443) 223-9946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011695
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC011695
OT LICENSE
PA
Enumeration date
10/03/2017
Last updated
06/16/2018
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