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1578682225
PHILIP JOSEPH BISSOONDIAL
WAXHAW, NC
NPI
1578682225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 4874)
Enumeration Date
2007-03-27
Last Update Date
2023-10-05
Business Address
PHILIP JOSEPH BISSOONDIAL OTR/ L
2300 GALLBERRY LN
WAXHAW, NC 28173-0161
Phone number: 704-649-4509
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Mailing Address
PHILIP JOSEPH BISSOONDIAL OTR/ L
2300 GALLBERRY LN
WAXHAW, NC 28173-0161
Phone number: 704-649-4509
Copy
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