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1487963906
SHANNON GRADY-TARENTINO
STATEN ISLAND, NY
NPI
1487963906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 009275-1)
Enumeration Date
2010-10-01
Last Update Date
2010-10-01
Business Address
-- SHANNON GRADY-TARENTINO OTR/L
40 MERRILL AVE
STATEN ISLAND, NY 10314-3312
Phone number: 718-370-7529
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Mailing Address
-- SHANNON GRADY-TARENTINO OTR/L
50 LINCOLN BLVD
CLARK, NJ 07066-2530
Phone number: 908-966-6994
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