Bonnie L Locke, C.O.T.A. Valid NPI

Individual provider · Occupational Therapy Assistant · Waco, TX

NPI

1174795702

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

210140 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2008-03-24

Last updated

2008-03-24