Individual
ASHLEY KARINA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
701 N WALTON BLVD STE 2AND4, BENTONVILLE, AR 72712-4548
(479) 250-9838
Mailing address
47 TOMINO WAY, HOT SPRINGS VILLAGE, AR 71909-2780
(501) 204-9233
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-A1856
AR
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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