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1477858744
JUDITH ANN RUSSELL
BUFFALO, NY
NPI
1477858744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 005258-1)
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
Mrs. JUDITH ANN RUSSELL COTA/C
2495 MAIN ST SUITE 234
BUFFALO, NY 14214-2152
Phone number: 716-836-5929
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Mailing Address
Mrs. JUDITH ANN RUSSELL COTA/C
67 JACKSON AVE
NORTH TONAWANDA, NY 14120-2603
Phone number: 716-692-1801
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