Yvette Bonilla

NPI #1508308883 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1508308883
Entity Type: Individual
Name: Yvette Bonilla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 17, 2016
Last Updated: Nov 17, 2016

Practice Location

Address: 111 CENTRAL AVE
Address 2: APT 1
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-1310
Phone: (401) 632-5895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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