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1427559145
KELLY DIEFENTHALER
STATEN ISLAND, NY
NPI
1427559145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
Ms. KELLY DIEFENTHALER OTR/L
165 SHELDON AVENUE
STATEN ISLAND, NY 10312
Phone number: 917-284-0598
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Mailing Address
Ms. KELLY DIEFENTHALER OTR/L
4802 10TH AVE # I
BROOKLYN, NY 11219-2916
Phone number:
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