RYAN SAMUEL BONILLA

LAKE WORTH, FL
NPI1245337906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT 22295)
Enumeration Date2006-09-17
Last Update Date2007-07-08
Business Address
Mr. RYAN SAMUEL BONILLA MPT
3898 VIA POINCIANA SUITE 12
LAKE WORTH, FL 33467-2951
Phone number: 561-966-9273
Mailing Address
Mr. RYAN SAMUEL BONILLA MPT
9873 BAYWINDS DR UNIT 5211
WEST PALM BEACH, FL 33411-1845
Phone number: 561-906-0607
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