Individual
CAROLYN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15970 SW 283RD ST, HOMESTEAD, FL 33033-1138
(305) 279-3440
Mailing address
15970 SW 283RD ST, HOMESTEAD, FL 33033-1138
(786) 474-7205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
14923
FL
225X00000X
Occupational Therapist
Primary
24776
FL
Other
Enumeration date
01/21/2016
Last updated
11/16/2023
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