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1922615681
CHELSEA PROVENZANO
GREAT NECK, NY
NPI
1922615681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 024973)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
CHELSEA PROVENZANO OTR/L
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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Mailing Address
CHELSEA PROVENZANO OTR/L
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
Copy
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