Individual
BONITA A OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
159 VALLEY CREST LN, CLARKSVILLE, TN 37043-2889
(931) 368-0052
Mailing address
159 VALLEY CREST LN, CLARKSVILLE, TN 37043-2889
(931) 368-0052
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TN1917
TN
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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