Individual
MISS BONNIE KOSHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
623 LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
(518) 782-3433
Mailing address
150 1/2 FRONT ST, SCHENECTADY, NY 12305-1305
(518) 377-6230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008316-1
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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