Mr. HENRI ALEXANDER BONILLA PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1902759335- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1312 MIDDLE COUNTRY RD, SELDEN, NY, 117842514
- Phone
- (631) 732-0700
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NY #014918-01