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1245510585
MARLIS DEMITCHELL
SYRACUSE, NY
NPI
1245510585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 012741-1)
Enumeration Date
2011-08-18
Last Update Date
2011-08-18
Business Address
-- MARLIS DEMITCHELL O.T.
4330 ONONDAGA BLVD
SYRACUSE, NY 13219-3030
Phone number: 315-314-1639
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Mailing Address
-- MARLIS DEMITCHELL O.T.
20 PEACHTREE CT SUITE 105
HOLBROOK, NY 11741-4616
Phone number: 631-467-3700
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