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1285986489
BENJAMIN CONRAD
PHILADELPHIA, PA
NPI
1285986489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA TOP008513)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
-- BENJAMIN CONRAD OTA
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 215-546-5960
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Mailing Address
-- BENJAMIN CONRAD OTA
7808 GRANVILLE RD
PHILADELPHIA, PA 19128-4020
Phone number: 215-435-1947
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