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1275788176
CAROL EDNA BRICKEN
ROOSEVELT, NY
NPI
1275788176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 0063771)
Enumeration Date
2008-11-20
Last Update Date
2008-11-20
Business Address
CAROL EDNA BRICKEN PTA
380 WASHINGTON AVE
ROOSEVELT, NY 11575-1845
Phone number: 516-378-2000
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Mailing Address
CAROL EDNA BRICKEN PTA
380 WASHINGTON AVE
ROOSEVELT, NY 11575-1845
Phone number: 516-378-2000
Copy
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