Elizabeth Blaine Bonorden, OTR/L | |
502 N 9th Ave, Vinton, IA 52349-2254 | |
(319) 472-6200 | |
Not Available |
Full Name | Elizabeth Blaine Bonorden |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 502 N 9th Ave, Vinton, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497200216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 084197 (Iowa) | Primary |
Provider Name | All Care Therapies Of Georgetown Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033538921 PECOS PAC ID: 7810119591 Enrollment ID: O20141113000234 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Blaine Bonorden, OTR/L 2909 Bever Ave Se, Cedar Rapids, IA 52403-3026 Ph: (361) 523-9566 | Elizabeth Blaine Bonorden, OTR/L 502 N 9th Ave, Vinton, IA 52349-2254 Ph: (319) 472-6200 |
Bethany Frerking, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 502 N 9th Ave, Vinton, IA 52349 Phone: 319-472-6200 | |
Mrs. Lisa Ann Marter, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 502 N 9th Ave, Vinton, IA 52349 Phone: 319-472-6372 | |
Sarah J Wiese, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 N 9th Ave, Vinton, IA 52349 Phone: 319-472-6372 | |
Mrs. Stacey Anne Hodges, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 502 N 9th Ave, Vinton, IA 52349 Phone: 319-472-6372 Fax: 319-472-6222 |