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1790454411
LISA ROSARIO KOLMANOVSKIY
MENLO PARK, CA
NPI
1790454411
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Former Name
LISA RIVERA ROSARIO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 22506)
Enumeration Date
2021-09-07
Last Update Date
2023-07-31
Business Address
LISA ROSARIO KOLMANOVSKIY OTR/L
825 OAK GROVE AVE STE A102
MENLO PARK, CA 94025-4427
Phone number: 650-323-0805
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Mailing Address
LISA ROSARIO KOLMANOVSKIY OTR/L
188 HACKAMORE CMN
FREMONT, CA 94539-7477
Phone number: 408-476-3717
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