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1194091082
SHIRA IMMAMALEE
JAMAICA, NY
NPI
1194091082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 007614-1)
Enumeration Date
2012-03-26
Last Update Date
2012-03-26
Business Address
MISS SHIRA IMMAMALEE OTR/L
17105 137TH AVE
JAMAICA, NY 11434-4521
Phone number: 718-528-7874
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Mailing Address
MISS SHIRA IMMAMALEE OTR/L
17105 137TH AVE
JAMAICA, NY 11434-4521
Phone number: 718-528-7874
Copy
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