Bonnie Jean Clancy, O.T.R.
Individual provider Active NPI Occupational Therapist · Sanibel, FL
NPI 1225258684 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1225258684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT3560 (FL)
- Practice address
- 1039 Beach Rd
Unit 105
Sanibel, FL 33957-6930 - Phone
- (239) 395-9060
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3560 | FL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3560 | FL | Yes |
Addresses
Primary practice location
1039 Beach Rd
Unit 105
Sanibel, FL 33957-6930
Mailing address
1039 Beach Rd
Unit 105
Sanibel, FL 33957-6930
Phone (239) 395-9060
Other providers in Sanibel, FL
- Leslie Alteri
- Maria F Badami
- Barrier Island Holding Co
- David M Berger
- Robert C Bussing
- Cypress Pharmacy Inc
- Laura Dasta
- John Bertrand Davis
- Michael M Derechin
- Thomas Martin Dugan
All providers in Sanibel, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.