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Laura Bonilla, PT

Physical Therapist in Ephrata, PA. Individual provider (NPI-1).

NPI number1992728547
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992728547
Entity type
Individual (NPI-1)
Name
Laura Bonilla
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT013816LPAYes

Practice location

136e Lake St
Ephrata, PA 17522-2415

Phone 717-738-7979

Mailing address

114 Autumn Dr
Lititz, PA 17543-9385

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