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1790460046
BREANNA PROPHETE
JAMAICA, NY
NPI
1790460046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 027922-01)
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
BREANNA PROPHETE MS, OTR/L
8212 151ST AVE
JAMAICA, NY 11414-1793
Phone number: 718-848-0300
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Mailing Address
BREANNA PROPHETE MS, OTR/L
10707 165TH ST
JAMAICA, NY 11433-2406
Phone number:
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