KATHLEEN PREMOCK

SOUTH DAYTONA, FL
NPI1598096844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NJ  46TA09070500)
Enumeration Date2010-01-27
Last Update Date2010-01-27
Business Address
-- KATHLEEN PREMOCK
917 BEVILLE RD SUITE G
SOUTH DAYTONA, FL 32119-1712
Phone number: 386-756-4395
Mailing Address
-- KATHLEEN PREMOCK
113 TOWNSEND RD
MARMORA, NJ 08223-1133
Phone number: 941-223-5994
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