Individual
MRS. BONNIE LEE MISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
106 DIMATTEO DR, NORTH TONAWANDA, NY 14120-6470
(716) 435-8834
Mailing address
106 DIMATTEO DR, NORTH TONAWANDA, NY 14120-6470
(716) 435-8834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006591-1
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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