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1114344181
LORI ANN HERZOG
OSWEGO, NY
NPI
1114344181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 002018-1)
Enumeration Date
2014-03-27
Last Update Date
2014-03-27
Business Address
Mrs. LORI ANN HERZOG PTA
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
Mrs. LORI ANN HERZOG PTA
8237 EXETER DR
BALDWINSVILLE, NY 13027-1001
Phone number: 315-303-4106
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