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1316298474
TANYA J PARK
PHILADELPHIA, PA
NPI
1316298474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC012536)
Enumeration Date
2012-09-28
Last Update Date
2012-09-28
Business Address
-- TANYA J PARK
5204 RIDGE AVE APT 2
PHILADELPHIA, PA 19128-3710
Phone number: 610-349-6405
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Mailing Address
-- TANYA J PARK
5204 RIDGE AVE APT 2
PHILADELPHIA, PA 19128-3710
Phone number:
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