Individual
ERIC BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27100 CEDAR RD, BEACHWOOD, OH 44122-1156
(216) 831-6500
Mailing address
1345 W 65TH ST, CLEVELAND, OH 44102-2109
(330) 565-3600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10755
OH
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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