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1144473083
KIRSTI REBECCA SHIELDS
FAIRPORT, NY
NPI
1144473083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 012839-1)
Enumeration Date
2008-10-23
Last Update Date
2008-10-23
Business Address
Mrs. KIRSTI REBECCA SHIELDS OTR
149 N MAIN ST
FAIRPORT, NY 14450-1434
Phone number: 585-377-2230
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Mailing Address
Mrs. KIRSTI REBECCA SHIELDS OTR
958 BOUGHTON HILL RD
VICTOR, NY 14564-9003
Phone number: 585-388-9005
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