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1003299017
THERESA AVILA THELEN-CLEMMONS
BROOKLYN, NY
NPI
1003299017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 0197491)
Enumeration Date
2015-07-08
Last Update Date
2015-07-08
Business Address
-- THERESA AVILA THELEN-CLEMMONS OTR/L
88 MESEROLE AVE APT 2D
BROOKLYN, NY 11222-2675
Phone number: 206-769-2098
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Mailing Address
-- THERESA AVILA THELEN-CLEMMONS OTR/L
88 MESEROLE AVE APT 2D
BROOKLYN, NY 11222-2675
Phone number: 206-769-2098
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