Individual
MRS. BONNIE JEAN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-7117
(607) 798-0074
Mailing address
800 CAFFERTY HILL RD, ENDICOTT, NY 13760-8916
(607) 748-0740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005687-1
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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