Individual
MISS EMILY ANNE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
120 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3930
(205) 944-3991
Mailing address
285 HIGH RIDGE DR, PELHAM, AL 35124-4016
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3074
AL
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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