Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BONITA STREET, PTA
Active Sole ProprietorMS. BONITA STREET, PTA is a Day Training/Habilitation healthcare provider located in RIDGEWAY, South Carolina. NPI 1730540717 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · RIDGEWAY, SC
Registration Details
- NPI Number
- 1730540717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2016 (10.427526106462 yrs)
- Last Updated
- Jan 27, 2025
- License
-
3474 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
198 SAWNEY CREEK CIRRIDGEWAY, SC, 291307104Browse SC providers · Browse ZIP 29130
- Phone
- 8032375733
- Primary Specialty
-
Day Training/Habilitation
373H00000X
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.