Provider Demographics
NPI:1407029028
Name:OREJUELA BONILLA, MONICA (MBA, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:OREJUELA BONILLA
Suffix:
Gender:F
Credentials:MBA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13217 SOUR ORANGE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7369
Mailing Address - Country:US
Mailing Address - Phone:407-275-2329
Mailing Address - Fax:
Practice Address - Street 1:1221 W COLONIAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7163
Practice Address - Country:US
Practice Address - Phone:407-852-3347
Practice Address - Fax:407-513-4368
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11708225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist