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1497589170
LARA BRIDGES
KENMORE, NY
NPI
1497589170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 011322-01)
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
LARA BRIDGES
3767 DELAWARE AVE
KENMORE, NY 14217-1040
Phone number: 716-874-6175
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Mailing Address
LARA BRIDGES
264 UNION ST APT A
HAMBURG, NY 14075-4758
Phone number: 716-432-8366
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