Celia Bonner

Individual provider Active NPI Occupational Therapy Assistant · Trumann, AR

NPI 1982161857 · NPPES record last updated Dec 19, 2023

Key facts

NPI
1982161857
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OT-A1648 (AR)
Practice address
809 W Main St Unit C-D
Trumann, AR 72472-2611
Phone
(870) 483-0068
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT-A1648ARMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1648 AR Yes

Addresses

Primary practice location

809 W Main St Unit C-D
Trumann, AR 72472-2611

Mailing address

921 Highway 138
Monticello, AR 71655
Phone (870) 995-8722

Other providers in Trumann, AR

All providers in Trumann, AR · Occupational Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.