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1326308446
STEPHANIE RAE NIEDZIELSKI
FORT SAM HOUSTON, TX
NPI
1326308446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201008186)
Enumeration Date
2012-05-22
Last Update Date
2012-05-23
Business Address
Miss STEPHANIE RAE NIEDZIELSKI OTR/L
3551 ROGER BROOKE DR MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-808-2237
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Mailing Address
Miss STEPHANIE RAE NIEDZIELSKI OTR/L
7461 KITTY HAWK APT 9208
CONVERSE, TX 78109-1670
Phone number: 989-316-6165
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