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1205076239
KELLY C FONDA-EWING
TROY, NY
NPI
1205076239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017202-1)
Enumeration Date
2009-03-04
Last Update Date
2014-11-14
Business Address
Mrs. KELLY C FONDA-EWING MSOTR/L
435 4TH ST
TROY, NY 12180-5324
Phone number: 518-271-6777
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Mailing Address
Mrs. KELLY C FONDA-EWING MSOTR/L
340 3RD AVE
WATERVLIET, NY 12189-3805
Phone number: 518-892-8468
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