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1053149542
LARISSA ROSE BRADY
RALEIGH, NC
NPI
1053149542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 16883)
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
LARISSA ROSE BRADY OTR/L
5301 CREEDMOOR RD
RALEIGH, NC 27612-3822
Phone number: 919-629-9145
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Mailing Address
LARISSA ROSE BRADY OTR/L
61 BAKER AVE
WHARTON, NJ 07885-2108
Phone number: 862-324-1566
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