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1104071679
STACIE MATZELLE
MASPETH, NY
NPI
1104071679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 014846-1)
Enumeration Date
2008-11-24
Last Update Date
2008-11-24
Business Address
-- STACIE MATZELLE OTR/L, MS
6026 59TH AVE
MASPETH, NY 11378-3202
Phone number: 718-386-8854
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Mailing Address
-- STACIE MATZELLE OTR/L, MS
6026 59TH AVE
MASPETH, NY 11378-3202
Phone number: 718-386-8854
Copy
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