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1033862024
CHRISTINA M WALLACE
FOREST HILLS, NY
NPI
1033862024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 010958)
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
CHRISTINA M WALLACE
7000 AUSTIN ST
FOREST HILLS, NY 11375-1022
Phone number: 718-762-7633
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Mailing Address
CHRISTINA M WALLACE
5 CARMINE DR
NETCONG, NJ 07857-1618
Phone number: 862-432-7327
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