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1104549609
VENICA PHAGOORAM
JAMAICA, NY
NPI
1104549609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 018837-01)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
Ms. VENICA PHAGOORAM MS OTR/L
14512 111TH AVE
JAMAICA, NY 11435-5616
Phone number: 917-379-2868
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Mailing Address
Ms. VENICA PHAGOORAM MS OTR/L
14512 111TH AVE
JAMAICA, NY 11435-5616
Phone number: 917-379-2868
Copy
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