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1942453998
ELLEN MODLIN
GREAT NECK, NY
NPI
1942453998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 007537)
Enumeration Date
2008-11-03
Last Update Date
2008-11-03
Business Address
-- ELLEN MODLIN OTR
55 BLUE BIRD DR
GREAT NECK, NY 11023-1001
Phone number: 917-771-4932
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Mailing Address
-- ELLEN MODLIN OTR
55 BLUE BIRD DR
GREAT NECK, NY 11023-1001
Phone number: 917-771-4932
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