MS. Bonita Street, PTA
NPI #1730540717 in Ridgeway, South Carolina
Provider Information
- NPI Number
- 1730540717
- Entity Type
- Individual
- Name
- MS. Bonita Street, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training/Habilitation Specialist
- Credential
- PTA
- Enumeration Date
- Mar 17, 2016
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- 198 SAWNEY CREEK CIR
- City
- Ridgeway
- State
- South Carolina
- ZIP Code
- 29130-7104
- Phone
- (803) 237-5733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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