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1912272782
MELISSA RAVERA
WOODSIDE, NY
NPI
1912272782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 012103)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
Mrs. MELISSA RAVERA OTR/L
4200 72ND ST
WOODSIDE, NY 11377-3932
Phone number: 718-424-5905
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Mailing Address
Mrs. MELISSA RAVERA OTR/L
4200 72ND ST
WOODSIDE, NY 11377-3932
Phone number: 718-424-5905
Copy
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