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1598880221
LISA HARE
PHILADELPHIA, PA
NPI
1598880221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP001330L)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Ms. LISA HARE COTAL
8015 LAWNDALE AVE
PHILADELPHIA, PA 19111-1507
Phone number: 215-725-2525
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Mailing Address
Ms. LISA HARE COTAL
558 E WOODLAWN ST
PHILADELPHIA, PA 19144-1316
Phone number: 610-905-6896
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