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1265590111
CHANDRAMOULI L. METTAPALLI
JAMAICA, NY
NPI
1265590111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 0033461)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Mr. CHANDRAMOULI L. METTAPALLI COTA
8725 HOMELAWN ST
JAMAICA, NY 11432-2727
Phone number: 718-785-3275
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Mailing Address
Mr. CHANDRAMOULI L. METTAPALLI COTA
11045 71ST RD STE 1G
FOREST HILLS, NY 11375-4968
Phone number: 718-593-4121
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