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1053963264
JALEESA THELMA LUCAS
HARRIS, NY
NPI
1053963264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 023724)
Enumeration Date
2019-07-09
Last Update Date
2023-01-03
Business Address
JALEESA THELMA LUCAS MS, OTR/L
31 KINNEBROOK
HARRIS, NY 12742-2204
Phone number: 845-707-6012
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Mailing Address
JALEESA THELMA LUCAS MS, OTR/L
574 GREENVILLE TPKE
MIDDLETOWN, NY 10940
Phone number: 914-844-1906
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