Individual
MS. BONNIE JEAN QUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
180 NORTH ST, AUBURN, NY 13021-1811
(315) 255-3623
(315) 255-0852
Mailing address
PO BOX 69, UNION SPRINGS, NY 13160-0069
(315) 255-3623
(315) 255-0852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012906
NY
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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