Bianca Antoinette Bonilla, 224Z00000X

NPI #1821532961 in Folkston, Georgia

Provider Information

NPI Number
1821532961
Entity Type
Individual
Name
Bianca Antoinette Bonilla, 224Z00000X
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
224Z00000X
Enumeration Date
Dec 8, 2016
Last Updated
Dec 8, 2016

Practice Location

Address
36261 OKEFENOKEE DR
State
Georgia
ZIP Code
31537-7853
Phone
(912) 496-7396

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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