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1487911921
SAMANTHA DEPAULO
STATEN ISLAND, NY
NPI
1487911921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00286700)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
MS. SAMANTHA DEPAULO PTA
154 EDGEGROVE AVE
STATEN ISLAND, NY 10312-3333
Phone number: 718-356-4868
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Mailing Address
MS. SAMANTHA DEPAULO PTA
154 EDGEGROVE AVE
STATEN ISLAND, NY 10312-3333
Phone number: 718-356-4868
Copy
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