Jill Andrea Bonn, OTR/L
Occupational Therapist, Pediatrics in Elizabeth City, NC. Individual provider (NPI-1).
NPI number1508024225
StatusActive
Last updated in NPPESMay 3, 2018
Details
- NPI
- 1508024225
- Entity type
- Individual (NPI-1)
- Name
- Jill Andrea Bonn
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2008
- Last updated
- May 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 4625 | NC | Yes |
Practice location
1417 Parkview DrElizabeth City, NC 27909-6533
Phone 252-338-4044
Mailing address
1417 Parkview DrElizabeth City, NC 27909-6533
Phone 252-338-4044
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