IndividualActive
Bonita Street, PTA
NPI 1730540717 · Day Training/Habilitation Specialist · Ridgeway, SC
Provider details
- NPI number
- 1730540717
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3474 (SC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
198 Sawney Creek Cir
Ridgeway, SC 29130-7104
Phone: (803) 237-5733
Approximate (ZIP-level) locationGet directions
Mailing address
198 Sawney Creek Cir
Ridgeway, SC 29130-7104
Registry dates
- Enumerated
- 2016-03-17
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.