Organization
MILAGRO THERAPY SERVICES LLC
Active
Other names
MILAGRO THERAPY SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA BONILLA OT (OWNER)
(564) 333-4267
Entity
Organization
Contact information
Practice address
2601 CHERRY AVE STE 211, BREMERTON, WA 98310-4208
(564) 333-4267
(360) 218-7967
Mailing address
2601 CHERRY AVE STE 211, BREMERTON, WA 98310-4208
(564) 333-4267
(360) 218-7967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3205
NM
225X00000X
Occupational Therapist
Primary
2181
NM
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
2133
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16073029
—
NM
Enumeration date
11/29/2006
Last updated
06/20/2025
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