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1336430529
COLLEEN M MITCHELL
MILLBROOK, NY
NPI
1336430529
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Former Name
COLLEEN M REQULA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 001276-1)
Enumeration Date
2011-04-22
Last Update Date
2011-04-22
Business Address
Ms. COLLEEN M MITCHELL OTA
3374 FRANKLIN AVENUE
MILLBROOK, NY 12545-5969
Phone number: 845-677-3251
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Mailing Address
Ms. COLLEEN M MITCHELL OTA
3374 FRANKLIN AVE
MILLBROOK, NY 12545-5969
Phone number: 845-677-6196
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