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1316265036
ELISA LOUISE SEDLACK
VIRGINIA BEACH, VA
NPI
1316265036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0131000122)
Enumeration Date
2010-05-05
Last Update Date
2010-05-05
Business Address
Ms. ELISA LOUISE SEDLACK COTA/L
3100 SHORE DR
VIRGINIA BEACH, VA 23451-1199
Phone number: 757-496-1688
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Mailing Address
Ms. ELISA LOUISE SEDLACK COTA/L
3729 E STRATFORD RD
VIRGINIA BEACH, VA 23455-2927
Phone number: 757-270-1084
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