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1033875026
MATTHEW ELLIS BALILO
BROOKLYN, NY
NPI
1033875026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 026153)
Enumeration Date
2021-11-13
Last Update Date
2021-11-13
Business Address
MATTHEW ELLIS BALILO OTR/L
2579 OCEAN AVE FL 3
BROOKLYN, NY 11229-4552
Phone number: 646-780-0926
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Mailing Address
MATTHEW ELLIS BALILO OTR/L
5842 220TH ST BAY BAYSIDE
BAYSIDE HILLS, NY 11364-1944
Phone number: 917-238-1323
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