Individual
ANNEMARIE MIRANDA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11460 W WASHINGTON BLVD, LOS ANGELES, CA 90066-6030
(310) 337-7115
Mailing address
16055 RAYEN ST, NORTH HILLS, CA 91343-4848
(415) 328-0915
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
301279
CA
Other
Enumeration date
11/24/2021
Last updated
02/14/2025
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