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1205567781
LARISSA HERON
NEW YORK, NY
NPI
1205567781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY P115555)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
LARISSA HERON
120 W 23RD ST
NEW YORK, NY 10011-2473
Phone number: 212-320-9797
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Mailing Address
LARISSA HERON
120 W 23RD ST
NEW YORK, NY 10011-2473
Phone number:
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