IndividualActive
Annemarie Bonilla, PT, DPT
NPI 1477210466 · Pediatric Physical Therapist · Los Angeles, CA
Provider details
- NPI number
- 1477210466
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 301279 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11460 W Washington Blvd
Los Angeles, CA 90066-6030
Phone: (310) 337-7115
Approximate (ZIP-level) locationGet directions
Mailing address
16055 Rayen St
North Hills, CA 91343-4848
Registry dates
- Enumerated
- 2021-11-24
- Last updated
- 2025-02-14
- Certified
- 2025-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.