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1629091681
SUSAN M GREEN
JAMESTOWN, NY
NPI
1629091681
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Former Name
SUSAN BERMINGHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 004220-1)
Enumeration Date
2006-07-25
Last Update Date
2022-10-06
Business Address
Mrs. SUSAN M GREEN OTL
15 SOUTH MAIN ST STE 220
JAMESTOWN, NY 14701
Phone number: 716-488-2322
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Mailing Address
Mrs. SUSAN M GREEN OTL
5472 SCANDIA DR
BEMUS POINT, NY 14712
Phone number: 716-488-2322
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