Samantha Bonny in Shelbyville - Developmental Therapist

Samantha Bonny - NPI 1669683843

Samantha Bonny is a Developmental Therapist in Shelbyville, Illinois. Samantha Bonny practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Samantha Bonny is 1669683843. The last update date is 2007-07-08.

Samantha Bonny's current location address is Rr 4 Box 36, Shelbyville, Illinois. You can contact this provider via phone number 2177749629 and fax number 2178682113. The mailing address for Samantha Bonny is Rr 4 Box 36, Shelbyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Samantha Bonny
Address Rr 4 Box 36, Shelbyville, Illinois
Phone Number 2177749629
Fax Number 2178682113
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1669683843
Provider Enumeration Date 2007-05-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Rr 4 Box 36
City Shelbyville
State Illinois (IL)
Post Code 625658636
Phone Number 2177749629
Fax Number 2178682113

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Definition:
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education

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FAQs about Samantha Bonny

What is the unique identification code assigned to Samantha Bonny by the Centers for Medicare & Medicaid Services?

The Samantha Bonny has been issued the NPI (National Provider Identifier) 1669683843. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Samantha Bonny is physically located?

The Samantha Bonny is situated at the following address: Rr 4 Box 36, Shelbyville, IL 625658636.

What is Samantha Bonny's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Samantha Bonny's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.

On what date was the 1669683843 assigned to Samantha Bonny?

The Samantha Bonny was issued its 1669683843 on 2007-05-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Samantha Bonny most recently updated or refreshed?

The details pertaining to the Samantha Bonny, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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