RICHARD KEVIN BONILLA

INNOVA PHYSICAL THERAPY LLC

Dr RICHARD KEVIN BONILLA is a male medical professional, specializing in Physical Therapy. He graduated in 2018 from University Of Washington School Of Medicine.

Contact

INNOVA PHYSICAL THERAPY LLC

8630 164TH AVE NE
REDMOND
WA
980523606

Tel: 4256584980

RICHARD KEVIN BONILLA Information

Npi 1851873558
Pac Id 5092055418
Professional Enrollment Id I20190322000643
Last Name BONILLA
First Name RICHARD
Middle Name KEVIN
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 2018
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INNOVA PHYSICAL THERAPY LLC
Group Practice Pac Id 5092935551
Number Of Group Practice Members 8
Line 1 Street Address 8630 164TH AVE NE
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City REDMOND
State WA
Zip Code 980523606
Phone Number 4256584980
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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