Individual
MISS STEPHANIE ANNA BONAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
77 N CENTRE AVE STE 215, ROCKVILLE CENTRE, NY 11570-3923
(631) 363-5794
Mailing address
825 FRANKLIN PL, FRANKLIN SQUARE, NY 11010-3922
(516) 313-2305
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
027804
NY
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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