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1619161627
WINIFRED STACY LOM
PHOENIX, AZ
NPI
1619161627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CT 50)
Enumeration Date
2007-09-03
Last Update Date
2007-09-03
Business Address
-- WINIFRED STACY LOM MS OTR/L
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
-- WINIFRED STACY LOM MS OTR/L
4 HARBOR RD
DARIEN, CT 06820-5809
Phone number: 203-655-0686
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