Individual
YVETTE BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CENTRAL AVE, APT 1, PAWTUCKET, RI 02860-1310
(401) 632-5895
Mailing address
111 CENTRAL AVE, APT 1, PAWTUCKET, RI 02860-1310
(401) 632-5895
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8631
MA
225200000X
Physical Therapy Assistant
PTA00855
RI
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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