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1124360177
TRACI ELISE RICHARDSON
BRONX, NY
NPI
1124360177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017822-1)
Enumeration Date
2013-03-17
Last Update Date
2014-03-18
Business Address
Ms. TRACI ELISE RICHARDSON MA, OTR/L
2475 SOUTHERN BLVD.
BRONX, NY 10458
Phone number: 718-584-6390
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Mailing Address
Ms. TRACI ELISE RICHARDSON MA, OTR/L
2475 SOUTHERN BLVD.
BRONX, NY 10458
Phone number: 718-584-6390
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