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1720706302
SHANITA ROBERTS
PHILADELPHIA, PA
NPI
1720706302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA op010107)
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
SHANITA ROBERTS COTA/L
600 W CHELTENHAM AVE
PHILADELPHIA, PA 19126-3045
Phone number: 215-927-7300
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Mailing Address
SHANITA ROBERTS COTA/L
600 W CHELTENHAM AVE
PHILADELPHIA, PA 19126-3045
Phone number:
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