Individual
CELIA BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 W MAIN ST UNIT C-D, TRUMANN, AR 72472-2611
(870) 483-0068
Mailing address
921 HIGHWAY 138, MONTICELLO, AR 71655
(870) 995-8722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1648
AR
Other
Enumeration date
02/26/2019
Last updated
12/19/2023
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