Individual
BONNIE ALLYSON DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
419 W 3RD ST, CORNING, AR 72422-2754
(870) 857-6572
Mailing address
1111 W ELM ST, CORNING, AR 72422-1949
(870) 586-8601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A976
AR
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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