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1134385396
SUSAN PENDERGAST
MONROE, NY
NPI
1134385396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 003749-1)
Enumeration Date
2008-08-06
Last Update Date
2008-08-06
Business Address
-- SUSAN PENDERGAST COTA
28 TEPHANIC AVE
MONROE, NY 10950-1418
Phone number: 845-783-1223
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Mailing Address
-- SUSAN PENDERGAST COTA
28 TEPHANIC AVE
MONROE, NY 10950-1418
Phone number: 845-783-1223
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