Individual
JULIANA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
3800 RESERVOIR RD NW BLDG RM, WASHINGTON, DC 20007-2113
(202) 444-4180
Mailing address
3800 RESERVOIR RD. NW, MARCUS BLES BLDG; RM CG-12, WASHINGTON DC, DC 20007
(202) 444-4180
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0019005712
VA
Other
Enumeration date
07/26/2012
Last updated
07/21/2022
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