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1568671154
ELLEN F LODS
KENMORE, NY
NPI
1568671154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 5591912)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- ELLEN F LODS PTA
164 DONCASTER RD
KENMORE, NY 14217-2155
Phone number: 716-874-6175
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Mailing Address
-- ELLEN F LODS PTA
107 BRIGHT ST
CHEEKTOWAGA, NY 14206-2610
Phone number:
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