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1265798524
KENNETH WARREN BERDEEN
LEDYARD, CT
NPI
1265798524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CT 001179)
Enumeration Date
2012-04-11
Last Update Date
2012-04-11
Business Address
Mr. KENNETH WARREN BERDEEN COTA/L
220 HALEY RD
LEDYARD, CT 06339
Phone number: 401-932-8050
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Mailing Address
Mr. KENNETH WARREN BERDEEN COTA/L
220 HALEY RD
LEDYARD, CT 06339
Phone number: 401-932-8050
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