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1528311792
ARDISSA LIANDA PHILLIPS
BROOKLYN, NY
NPI
1528311792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 63015885)
Enumeration Date
2012-10-24
Last Update Date
2013-09-28
Business Address
Miss ARDISSA LIANDA PHILLIPS OTR/L
530 STANLEY AVE P.S. K4/ DISTRICT 75
BROOKLYN, NY 11207-7714
Phone number: 718-498-6680
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Mailing Address
Miss ARDISSA LIANDA PHILLIPS OTR/L
530 STANLEY AVE P.S. K4/ DISTRICT 75
BROOKLYN, NY 11207-7714
Phone number: 718-498-6680
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