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1770995250
LYDIA SPEVACK
CEDAR GROVE, NJ
NPI
1770995250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NJ OTA46TA09084800)
Enumeration Date
2014-06-02
Last Update Date
2014-06-02
Business Address
MS. LYDIA SPEVACK
536 RIDGE RD
CEDAR GROVE, NJ 07009-1611
Phone number: 973-239-9300
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Mailing Address
MS. LYDIA SPEVACK
120 CLEVELAND AVE
LONG BEACH, NY 11561-3811
Phone number: 561-212-1063
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