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1104070523
WENDY JILL BLANK
ASTORIA, NY
NPI
1104070523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: NY 010632)
Enumeration Date
2008-11-12
Last Update Date
2008-11-12
Business Address
MRS. WENDY JILL BLANK OTR/L
2161 45TH ST
ASTORIA, NY 11105-1347
Phone number: 516-659-4119
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Mailing Address
MRS. WENDY JILL BLANK OTR/L
2161 45TH ST
ASTORIA, NY 11105-1347
Phone number: 516-659-4119
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