Individual
LAUREN E BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
216 LEE PL, BELLMORE, NY 11710-5004
(516) 790-2852
(866) 431-7388
Mailing address
216 LEE PL, BELLMORE, NY 11710-5004
(516) 790-2852
(866) 431-7388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
015415
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
015415
NY
Other
Enumeration date
04/13/2012
Last updated
09/25/2023
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