Bianca Bonniwell, OTR/L
Bianca Bonniwell, OTR/L is an Occupational Therapist in Private Practice in Buffalo, Minnesota. Qualified in 2012, 14 years ago. Practices with St Croix Regional Medical Center, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 14
- Licensed in
- MN
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- OTR/L — Occupational Therapist, Registered and Licensed
- An occupational therapist who is both nationally registered and state licensed.
Practice location Address checks out
300 Catlin StBuffalo, MN 55313-2012
Phone: (763) 684-3888
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 20288 Highway 15 N, Hutchinson, MN 55350-5684 — (320) 587-2326
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 104457 (MN) |
|---|---|
| Pediatric Occupational Therapist | Taxonomy 225XP0200X (MN) |
Record details
| NPI number | 1639597685 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTR/L |
| Sole proprietor | No |
| NPI enumerated | April 6, 2014 |
| Last updated in NPPES | December 19, 2019 |
| Certification date | December 19, 2019 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | St. Croix Regional Medical Center — 132 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |