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1922765064
DEMETRIA THATEN
STATEN ISLAND, NY
NPI
1922765064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 026248)
Enumeration Date
2021-11-23
Last Update Date
2023-02-02
Business Address
DEMETRIA THATEN OTR/L
35 SHOTWELL AVE
STATEN ISLAND, NY 10312-1929
Phone number: 917-932-4741
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Mailing Address
DEMETRIA THATEN OTR/L
35 SHOTWELL AVE
STATEN ISLAND, NY 10312-1929
Phone number: 917-932-4741
Copy
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