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1295360881
JOAN SHARON ELLSWORTH
BALDWINSVILLE, NY
NPI
1295360881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 010379-01)
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
JOAN SHARON ELLSWORTH COTA
7740 MEIGS RD
BALDWINSVILLE, NY 13027-9757
Phone number: 315-638-2521
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Mailing Address
JOAN SHARON ELLSWORTH COTA
8794 NORCROSS DR
CLAY, NY 13041-2555
Phone number: 315-251-5477
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