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1124764139
ALICIA BERGEN
MONSEY, NY
NPI
1124764139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 008957)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
ALICIA BERGEN COTA/L
6 MELNICK DR STE 108
MONSEY, NY 10952-3369
Phone number: 845-364-6861
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Mailing Address
ALICIA BERGEN COTA/L
825 BERKLEY ST APT D
NEW MILFORD, NJ 07646-5347
Phone number: 973-580-9425
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