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1114412657
ANDREA RAPHAEL
FAIRPORT, NY
NPI
1114412657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY P10746)
Enumeration Date
2018-06-27
Last Update Date
2018-06-27
Business Address
ANDREA RAPHAEL OT
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450-1163
Phone number: 585-377-0350
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Mailing Address
ANDREA RAPHAEL OT
12 CHATEAU SQ
ROCHESTER, NY 14618-5131
Phone number: 585-813-5455
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