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1902436819
MARTHA HOUSTON BONNER
CHARLOTTE, NC
NPI
1902436819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 11000)
Enumeration Date
2020-01-20
Last Update Date
2020-01-20
Business Address
MARTHA HOUSTON BONNER COTA/L
2092 AYRSLEY TOWN BLVD
CHARLOTTE, NC 28273-4037
Phone number: 704-577-4094
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Mailing Address
MARTHA HOUSTON BONNER COTA/L
2321 COMMONWEALTH AVE
CHARLOTTE, NC 28205-5129
Phone number: 334-462-8043
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