IndividualActive
Ashley Bonilla, COTA/L
NPI 1366179533 · Pediatric Occupational Therapist · Bentonville, AR
Provider details
- NPI number
- 1366179533
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT-A1856 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
701 N Walton Blvd Ste 2and4
Bentonville, AR 72712-4548
Phone: (479) 250-9838
Approximate (ZIP-level) locationGet directions
Mailing address
47 Tomino Way
Hot Springs Village, AR 71909-2780
Registry dates
- Enumerated
- 2022-08-06
- Last updated
- 2022-08-06
- Certified
- 2022-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.