Individual
MRS. ADRIENNE JADE BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
230 W FULTON ST, GLOVERSVILLE, NY 12078-2720
(518) 727-8220
Mailing address
12 QUEEN ANNE RD, AMSTERDAM, NY 12010-8333
(518) 727-8220
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
020072
NY
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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