Healthcare Provider Details

I. General information

NPI: 1912300203
Provider Name (Legal Business Name): AIMEE BONHILL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 10/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8972 DARROW RD
TWINSBURG OH
44087-2189
US

IV. Provider business mailing address

8972 DARROW RD
TWINSBURG OH
44087-2189
US

V. Phone/Fax

Practice location:
  • Phone: 330-963-2920
  • Fax: 330-963-2921
Mailing address:
  • Phone: 330-963-2920
  • Fax: 330-963-2921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number33-021033
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: