Individual provider · Type 1 NPI

Annemarie Miranda Bonilla, PT, DPT

Pediatric Physical Therapist · Los Angeles, CA

NPI number 1477210466 Active

Practice location

11460 W Washington Blvd
Los Angeles, CA 90066-6030

Call (310) 337-7115 Map

Mailing address

16055 Rayen St
North Hills, CA 91343-4848

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X301279 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1477210466

Annemarie Miranda Bonilla, PT, DPT's National Provider Identifier is 1477210466, issued on Nov 24, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 14, 2025.