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1053942912
DELANEY WALLACE
STATEN ISLAND, NY
NPI
1053942912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 024368)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
DELANEY WALLACE
1415 RICHMOND AVE
STATEN ISLAND, NY 10314-1553
Phone number: 877-407-3422
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Mailing Address
DELANEY WALLACE
7 CARNEGIE PLZ
CHERRY HILL, NJ 08003-1000
Phone number: 877-407-3422
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