Individual
BONNI SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 LAKEVIEW CIRCLE DR, LAKE GEORGE, NY 12845-6413
(518) 915-3458
Mailing address
37 EVERTS AVE, QUEENSBURY, NY 12804-2040
(518) 793-4700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009432-1
NY
Other
Enumeration date
11/02/2015
Last updated
11/03/2015
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