Provider Demographics
NPI:1295940955
Name:BALDWIN, ANNE BONAMER (OT)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:BONAMER
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8216 CREEKSIDE TRCE
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-1367
Mailing Address - Country:US
Mailing Address - Phone:440-546-0316
Mailing Address - Fax:
Practice Address - Street 1:8972 DARROW RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2189
Practice Address - Country:US
Practice Address - Phone:330-963-2920
Practice Address - Fax:330-963-2921
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH001382225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand