Individual
VANESSA IVONNE BONILLA TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
VILLA CAROLINA CALLE 435 BLOQUE 192 #18, VILLA CAROLINA, CAROLINA, PR 00985
(787) 750-3390
Mailing address
PO BOX 40260, SAN JUAN, PR 00940-0260
(787) 479-3998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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