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1871014134
KELLY LYNN SANFORD
NEW YORK, NY
NPI
1871014134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA TOP009133)
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
KELLY LYNN SANFORD COTA/L
307 W 38TH ST RM 1305
NEW YORK, NY 10018-9521
Phone number: 212-943-1404
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Mailing Address
KELLY LYNN SANFORD COTA/L
3240 OLD BETHLEHEM PIKE
COOPERSBURG, PA 18036-2808
Phone number:
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