Individual
ERICA M BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3010 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 216-8000
Mailing address
3010 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 216-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11315
MT
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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