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1740692060
JOSEPH M LIBUTAN
BRONX, NY
NPI
1740692060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 018891)
Enumeration Date
2014-05-21
Last Update Date
2014-05-21
Business Address
-- JOSEPH M LIBUTAN OTR
817 E 180TH ST
BRONX, NY 10460-1305
Phone number: 718-220-6262
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Mailing Address
-- JOSEPH M LIBUTAN OTR
817 E 180TH ST
BRONX, NY 10460-1305
Phone number: 718-220-6262
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