Bonita Street, PTA

Practice location

Address

198 Sawney Creek Cir, Ridgeway, SC 29130-7104

Phone

(803) 237-5733

Registered specialties

Registry record

NPI

1730540717

Entity type

Individual

Sex (as registered)

Female

NPI issued

17 Mar 2016

Record last updated

27 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.