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1124384722
RITA KOSTAKOS
WHITESTONE, NY
NPI
1124384722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 011210)
Enumeration Date
2012-04-09
Last Update Date
2012-04-09
Business Address
-- RITA KOSTAKOS
147-27 15TH DR
WHITESTONE, NY 11357-2508
Phone number: 718-746-0396
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Mailing Address
-- RITA KOSTAKOS
147-27 15TH DR
WHITESTONE, NY 11357-2508
Phone number:
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