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1316212004
SUSANNA CHAN
FRESH MEADOWS, NY
NPI
1316212004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 014781-1)
Enumeration Date
2012-03-14
Last Update Date
2012-03-14
Business Address
-- SUSANNA CHAN OTR/L
19635 PECK AVE
FRESH MEADOWS, NY 11365-2821
Phone number: 718-264-1205
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Mailing Address
-- SUSANNA CHAN OTR/L
19635 PECK AVE
FRESH MEADOWS, NY 11365-2821
Phone number:
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