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1942554928
DEVORA BACKENROTH
STATEN ISLAND, NY
NPI
1942554928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017362)
Enumeration Date
2012-10-30
Last Update Date
2012-10-30
Business Address
Mrs. DEVORA BACKENROTH OTR/L
313 MIDLAND AVE
STATEN ISLAND, NY 10306
Phone number: 718-987-5336
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Mailing Address
Mrs. DEVORA BACKENROTH OTR/L
313 MIDLAND AVE
STATEN ISLAND, NY 10306
Phone number:
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