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1619250008
DIANNE PATRICIA KIRK
PATCHOGUE, NY
NPI
1619250008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 002617-1)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
Ms. DIANNE PATRICIA KIRK PTA
201 SUNRISE HWY
PATCHOGUE, NY 11772-1868
Phone number: 631-218-4181
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Mailing Address
Ms. DIANNE PATRICIA KIRK PTA
201 SUNRISE HWY
PATCHOGUE, NY 11772-1868
Phone number: 631-218-4181
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