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1013164797
DARLENE ANN MATESIC
LACKAWANNA, NY
NPI
1013164797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 6583254)
Enumeration Date
2008-08-25
Last Update Date
2011-05-13
Business Address
Ms. DARLENE ANN MATESIC OTR/L
109 LEONARD ST
LACKAWANNA, NY 14218-2032
Phone number: 716-697-0364
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Mailing Address
Ms. DARLENE ANN MATESIC OTR/L
109 LEONARD ST
LACKAWANNA, NY 14218-2032
Phone number: 716-697-0364
Copy
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