IndividualActive
Bianca Bonilla, 224Z00000X
NPI 1821532961 · Occupational Therapy Assistant · Folkston, GA
Provider details
- NPI number
- 1821532961
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- 224Z00000X
- Sex
- Female
- Sole proprietor
- No
- License
- 15458 (FL)
Mailing address
2894 West 8th St.
Jacksonville, FL 32254
Registry dates
- Enumerated
- 2016-12-08
- Last updated
- 2016-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.