Individual
ANGELINA BONAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N MAIN ST, SPRING VALLEY, NY 10977-4020
(845) 625-2810
(845) 517-3460
Mailing address
230 N MAIN ST, SPRING VALLEY, NY 10977-4020
(845) 625-2810
(845) 517-3460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036603
NY
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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