Individual
BEVERLY I BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
60 COLUMBIA ST STE 301, ORLANDO, FL 32806-1115
(407) 515-2420
(321) 843-8881
Mailing address
60 COLUMBIA ST STE 301, ORLANDO, FL 32806-1115
(407) 515-2420
(321) 843-8881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT10100
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT10100
FL
225700000X
Massage Therapist
MA29268
FL
Other
Enumeration date
10/14/2008
Last updated
02/26/2026
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