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1306535323
ALEXIS NICCUM
NEW YORK, NY
NPI
1306535323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 027668)
Enumeration Date
2023-05-04
Last Update Date
2023-05-05
Business Address
ALEXIS NICCUM OT
180 W 80TH ST
NEW YORK, NY 10024-6378
Phone number: 212-579-2858
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Mailing Address
ALEXIS NICCUM OT
6225 RED FOX RD
PENDLETON, IN 46064-9058
Phone number: 765-639-8867
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