SearchMaryland101YP2500X

Fabienne Bonaventure, COTA

NPI 1538652227 · on the registry since 2018 · sole proprietor

Practice

Address
13014 5th St
Bowie, MD 20720
Phone
(301) 543-0960
Clinicians at this address
2

Additional practice sites

  • 13014 5th St, Bowie, MD

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland