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

MS. LIZBETH DARIA BONACUM, PT

Active Sole Proprietor

MS. LIZBETH DARIA BONACUM, PT is a Physical Therapy Assistant healthcare provider located in BOVINA CENTER, New York. NPI 1326363490 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BOVINA CENTER, NY

Registration Details

NPI Number
1326363490
Provider Type
Individual
Gender
Female
NPI Issued
Apr 1, 2010 (16.404373122327 yrs)
Last Updated
Apr 1, 2010
License
006052-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1915 COUNTY HIGHWAY 6
BOVINA CENTER, NY, 13740
Browse NY providers · Browse ZIP 13740
Phone
6078324880
Primary Specialty
Physical Therapy Assistant
225100000X
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.