Individual
LEANNA BOKNOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 WHITEHORSE MERCERVILLE RD STE 210, HAMILTON, NJ 08619-3882
(609) 631-1188
(609) 631-1189
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00424000
NJ
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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