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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD XAVIER BONILLA, OT

Active

EDWARD XAVIER BONILLA, OT is a Occupational Therapist healthcare provider located in HEMET, California. NPI 1003578006 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · HEMET, CA

Registration Details

NPI Number
1003578006
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2021 (4.8295813116943 yrs)
Last Updated
Oct 7, 2021
License
22784 (CA)

Practice Information

Address
3989 W STETSON AVE STE 105
HEMET, CA, 925459697
Browse CA providers · Browse ZIP 92545
Phone
9516523334
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in HEMET, CA

Name Credential NPI
LEILA R GABRIEL O.T.R. 1942470984
DIANA VALDEZ OTR/L 1972844520
ROBERT PAUL BOS OTR/L 1295174597
DANIEL WILLIAMS 1760870042
MRS. BROOKE JENSEN OTR/L 1235783895
REUBEN RENE CASTILLO OT 1669336087
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.