Jolie L. Bonck, O.T.

NPI #1255500591 in Jefferson, Louisiana

Provider Information

NPI Number: 1255500591
Entity Type: Individual
Name: Jolie L. Bonck, O.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.
Enumeration Date: Feb 20, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 101 RIVER RD STE 112
City: Jefferson
State: Louisiana
ZIP Code: 70121-4226
Phone: (504) 828-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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