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1043668718
KADDI LUCAS
ERIE, PA
NPI
1043668718
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Former Name
KADDI DILLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA TOC103210)
Enumeration Date
2016-06-02
Last Update Date
2018-03-17
Business Address
KADDI LUCAS OTR
4950 W 23RD ST STE 1
ERIE, PA 16506-5802
Phone number: 814-456-2755
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Mailing Address
KADDI LUCAS OTR
419 WATERFORD ST
EDINBORO, PA 16412-5517
Phone number: 814-734-5021
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