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1417166745
JEANNIE PHEARSDORF
OLEAN, NY
NPI
1417166745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 005885-1)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- JEANNIE PHEARSDORF OTA
515 MAIN ST
OLEAN, NY 14760-1513
Phone number: 716-373-2600
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Mailing Address
-- JEANNIE PHEARSDORF OTA
2515 N NINE MILE RD
ALLEGANY, NY 14706-9767
Phone number: 716-373-4060
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