Individual
TINA R BONAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
95 FRANK B MURRAY ST, SPRINGFIELD, MA 01103-1106
(413) 301-6019
(413) 363-2857
Mailing address
84 WOODSLEY RD, LONGMEADOW, MA 01106-2517
(413) 530-6415
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTL16090
MA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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