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1346575321
AMANDA MAIRE TASE
MOORESVILLE, NC
NPI
1346575321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 7340)
Enumeration Date
2009-10-09
Last Update Date
2009-10-09
Business Address
-- AMANDA MAIRE TASE MS-OTR-L
550 GLENWOOD DR
MOORESVILLE, NC 28115-2876
Phone number: 704-664-7494
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Mailing Address
-- AMANDA MAIRE TASE MS-OTR-L
151 WATERLYNN RIDGE RD
MOORESVILLE, NC 28117-5433
Phone number: 716-807-8692
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