Individual
CECILIA BONIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3918 PECAN GROVE RD, RUDY, AR 72952-9026
(479) 632-6337
(479) 632-5916
Mailing address
113 TEAKWOOD DR, POTEAU, OK 74953-2243
(479) 632-6337
(479) 632-5916
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
192
OK
224Z00000X
Occupational Therapy Assistant
Primary
OTA115
AR
Other
Enumeration date
07/01/2006
Last updated
07/09/2007
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