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1316281157
SAMUEL BAK
KENNETT SQUARE, PA
NPI
1316281157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC012649)
Enumeration Date
2012-11-17
Last Update Date
2012-11-17
Business Address
-- SAMUEL BAK OTR/L
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 180-072-8880
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Mailing Address
-- SAMUEL BAK OTR/L
2295 GLENVIEW DR
LANSDALE, PA 19446-6082
Phone number:
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