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1760509400
JACQUELINE CONNOLLY
ROOSEVELT, NY
NPI
1760509400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 002872)
Enumeration Date
2007-03-26
Last Update Date
2016-07-14
Business Address
-- JACQUELINE CONNOLLY
380 WASHINGTON AVE
ROOSEVELT, NY 11575-1845
Phone number: 516-378-2000
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Mailing Address
-- JACQUELINE CONNOLLY
21908 43RD AVE
BAYSIDE, NY 11361-3523
Phone number:
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