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1093930273
DANIELLE LAKE
HAVERTOWN, PA
NPI
1093930273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: PA OC008441)
Enumeration Date
2007-04-14
Last Update Date
2008-04-07
Business Address
Mrs. DANIELLE LAKE MS, OTRL
1 N BELFIELD AVE
HAVERTOWN, PA 19083-4904
Phone number: 267-257-5784
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Mailing Address
Mrs. DANIELLE LAKE MS, OTRL
1115 ALMOND DR
PHOENIXVILLE, PA 19460-5918
Phone number: 267-257-5784
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