Individual
MRS. BONNIE LYNN RUBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 2 MONTAUK HIGHWAY, TENDER AGE PT INC, OAKDALE, NY 11769
(631) 218-1545
(631) 218-2650
Mailing address
562 CHESTER ROAD, SAYVILLE, NY 11782
(631) 750-3382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0021831
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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