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1760897110
SHIRA BALSAM
LAKEWOOD, NJ
NPI
1760897110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR00656200)
Enumeration Date
2014-06-24
Last Update Date
2019-04-09
Business Address
SHIRA BALSAM OTR/L
20 NATURES WAY
LAKEWOOD, NJ 08701-4339
Phone number: 443-955-9517
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Mailing Address
SHIRA BALSAM OTR/L
20 NATURES WAY
LAKEWOOD, NJ 08701-4339
Phone number:
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