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1407122195
LISA DAVIS
BRONX, NY
NPI
1407122195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017146)
Enumeration Date
2012-03-27
Last Update Date
2012-03-27
Business Address
-- LISA DAVIS
2750 LAFAYETTE AVE
BRONX, NY 10465-2210
Phone number: 631-793-9384
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Mailing Address
-- LISA DAVIS
2750 LAFAYETTE AVE
BRONX, NY 10465-2210
Phone number:
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