Edward Xavier Bonilla, OT
NPI #1003578006 in Hemet, California
Provider Information
- NPI Number
- 1003578006
- Entity Type
- Individual
- Name
- Edward Xavier Bonilla, OT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OT
- Enumeration Date
- Oct 7, 2021
- Last Updated
- Oct 7, 2021
Practice Location
- Address
- 3989 W STETSON AVE STE 105
- City
- Hemet
- State
- California
- ZIP Code
- 92545-9697
- Phone
- (951) 652-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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