Individual provider · Type 1 NPI

Chivvon Bonilla, COTA/L

Occupational Therapy Assistant · Louisville, KY

NPI number 1255745873 Active

Practice location

303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5158

Call (502) 412-5847 Map

Mailing address

1400 E 51st Pl
Gary, IN 46409-2937

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32002663A (IN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1255745873

Chivvon Bonilla, COTA/L's National Provider Identifier is 1255745873, issued on Jun 12, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Louisville, KY. The record was last updated on Jun 12, 2014.