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1760037808
PAMUDU DISSANAYAKE
MONROE, MI
NPI
1760037808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201010529)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
PAMUDU DISSANAYAKE OTR/L
700 STEWART RD
MONROE, MI 48162-5304
Phone number: 734-240-1820
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Mailing Address
PAMUDU DISSANAYAKE OTR/L
33278 TALL OAKS CT
FARMINGTON, MI 48336-4548
Phone number: 248-787-2973
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