Individual
MRS. AMANDA NICOLE BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L/COTA
Contact information
Practice address
1001 S MAIN ST, MOUNTAIN HOME, AR 72653-4763
(870) 425-1201
Mailing address
1214 SAMMY ST, MOUNTAIN HOME, AR 72653-5716
(318) 547-7778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-A2148
AR
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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