Bonynge, Regina Carol

Bonynge, Regina Carol is an sole proprietor health care provider with primary practice located at 5523 Magnolia Blossom Ln , Sarasota FL 34233-3275. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bonynge, Regina Carol can be contacted via phone (941) 926-8778.

Contact Information

Primary practice address
5523 Magnolia Blossom Ln Sarasota FL 34233-3275
Phone: (941) 926-8778
Fax: (941) 926-8778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT2091 Florida

Profile Details

NPI number 1326006172
LBN Legal business name Bonynge, Regina Carol
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Dec 16th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326006172 NPPES
Florida Other OT2091 OT LICENSE
Florida Other P00458291 OT LICENSE
Florida Other Z5555 OT LICENSE

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