Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLA BONILLAS, COTA/L
Active Sole ProprietorKYLA BONILLAS, COTA/L is a Occupational Therapy Assistant healthcare provider located in WALNUT SHADE, Missouri. NPI 1689162729 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WALNUT SHADE, MO
Registration Details
- NPI Number
- 1689162729
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2018 (8.2663478550916 yrs)
- Last Updated
- Dec 13, 2024
- License
-
OT-A1135 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2503 US HIGHWAY 160WALNUT SHADE, MO, 657719221Browse MO providers · Browse ZIP 65771
- Phone
- 4178446307
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.