Individual
MR. CHARLES ANDREW BRONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
106 VALLEY RD, LIVERPOOL, NY 13088-6145
(315) 457-7948
Mailing address
106 VALLEY RD, LIVERPOOL, NY 13088-6145
(315) 457-7948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005650
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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