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1568861763
DANIELLE PETRIDES
LOUISVILLE, KY
NPI
1568861763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MA 3798)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- DANIELLE PETRIDES COTA/L
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
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Mailing Address
-- DANIELLE PETRIDES COTA/L
15 WASHBURN ST
LYNN, MA 01902-1513
Phone number:
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