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1144336272
SANDRA J KETCHAM
MASSAPEQUA, NY
NPI
1144336272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 020664-1)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Ms. SANDRA J KETCHAM PT
660 BROADWAY
MASSAPEQUA, NY 11758
Phone number: 516-730-2222
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Mailing Address
Ms. SANDRA J KETCHAM PT
660 BROADWAY
MASSAPEQUA, NY 11758
Phone number: 516-730-2222
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