Cecilia Bonifield
Occupational Therapy Assistant in Rudy, AR. Individual provider (NPI-1).
NPI number1356370548
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1356370548
- Entity type
- Individual (NPI-1)
- Name
- Cecilia Bonifield
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | OTA115 | AR | Yes |
| 224Z00000X | Occupational Therapy Assistant | 192 | OK |
Practice location
3918 Pecan Grove RdRudy, AR 72952-9026
Phone 479-632-6337 · Fax 479-632-5916
Mailing address
113 Teakwood DrPoteau, OK 74953-2243
Phone 479-632-6337 · Fax 479-632-5916
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Rudy, AR
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- Elizabeth Danielle BrockNPI 1649722737
- Jamie EdginNPI 1629408919
- Brandi FoxNPI 1285056044
- Daune HolzmanNPI 1942692199
- Jeaneen KidwellNPI 1205232741
- Amy Elizabeth MargisNPI 1730430463
- Leyna MorganNPI 1790101012
All 16 Occupational Therapy Assistant providers in Rudy · All 35 providers in Rudy
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