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1821740879
DOMINIQUE ROSE FORTINO
SYRACUSE, NY
NPI
1821740879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 021867)
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
DOMINIQUE ROSE FORTINO OTR/L
500 WADSWORTH ST
SYRACUSE, NY 13208-3035
Phone number: 315-435-4670
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Mailing Address
DOMINIQUE ROSE FORTINO OTR/L
302 OAKRIDGE DR
CAMILLUS, NY 13031-2222
Phone number: 315-412-3205
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