Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK BONNER I
ActiveDERRICK BONNER I is a Occupational Therapy Assistant healthcare provider located in MOUNT CLEMENS, Michigan. NPI 1174061063 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MOUNT CLEMENS, MI
Registration Details
- NPI Number
- 1174061063
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2017 (9.5265966679906 yrs)
- Last Updated
- Feb 10, 2017
Practice Information
- Address
-
175 N GROESBECK HWYMOUNT CLEMENS, MI, 480431562Browse MI providers · Browse ZIP 48043
- Phone
- 5866270024
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.