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1770232407
LISA MARIE BURGESS
WARREN, RI
NPI
1770232407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: RI OTA00090)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
LISA MARIE BURGESS
642 METACOM AVE
WARREN, RI 02885-2350
Phone number: 401-245-2860
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Mailing Address
LISA MARIE BURGESS
496 GIFFORD RD
WESTPORT, MA 02790-3417
Phone number: 774-319-1307
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