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1174179782
ALYSSA ANNE PROULX
OSWEGO, NY
NPI
1174179782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 010201)
Enumeration Date
2019-08-11
Last Update Date
2019-08-11
Business Address
ALYSSA ANNE PROULX COTA
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
ALYSSA ANNE PROULX COTA
173 PERFIELD RD
HASTINGS, NY 13076-3127
Phone number: 518-925-1930
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