Individual
KATHLEEN BONIAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BLUE HILLS TER, GREEN BROOK, NJ 08812-2303
(732) 690-8431
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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