Individual
EMMANUEL BONILLA-SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9321 W THOMAS RD STE 305, PHOENIX, AZ 85037-3395
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 241-8741
(623) 544-5531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30518
AZ
Other
Enumeration date
02/14/2019
Last updated
11/25/2025
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