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1811236888
TERESA BLUE
KENMORE, NY
NPI
1811236888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 003869-1)
Enumeration Date
2013-02-11
Last Update Date
2013-02-11
Business Address
-- TERESA BLUE
2900 DELAWARE AVE
KENMORE, NY 14217-2309
Phone number: 716-871-9883
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Mailing Address
-- TERESA BLUE
2900 DELAWARE AVE
KENMORE, NY 14217-2309
Phone number: 716-871-9883
Copy
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