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1841474962
SARA HEINICKE
SELBYVILLE, DE
NPI
1841474962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: DE U2-0001120)
Enumeration Date
2007-12-26
Last Update Date
2018-04-10
Business Address
SARA HEINICKE COTA/L
31 HOSIER ST
SELBYVILLE, DE 19975-9300
Phone number: 302-432-1000
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Mailing Address
SARA HEINICKE COTA/L
30207 FRANKFORD SCHOOL RD
FRANKFORD, DE 19945-2616
Phone number: 302-732-3800
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