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1023312840
EWA ELLIOTT
PATCHOGUE, NY
NPI
1023312840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 03522-1)
Enumeration Date
2011-01-09
Last Update Date
2011-01-09
Business Address
Mrs. EWA ELLIOTT PTA
180A GROVE AVE
PATCHOGUE, NY 11772-4134
Phone number: 631-697-8613
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Mailing Address
Mrs. EWA ELLIOTT PTA
180A GROVE AVE
PATCHOGUE, NY 11772-4134
Phone number: 631-697-8613
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