Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GUSTAVO BONILLA ALEJANDRO
Active Sole ProprietorGUSTAVO BONILLA ALEJANDRO is a Occupational Therapist healthcare provider located in BLOOMINGDALE, Michigan. NPI 1205643160 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BLOOMINGDALE, MI
Registration Details
- NPI Number
- 1205643160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2024 (1.6858005692604 yrs)
- Last Updated
- Dec 14, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
08232 44TH STBLOOMINGDALE, MI, 490269623Browse MI providers · Browse ZIP 49026
- Phone
- 2693601756
- Primary Specialty
-
Occupational Therapist
225200000X
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.