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1962694430
LORI MALLORY
LACKAWANNA, NY
NPI
1962694430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 007623-1)
Enumeration Date
2007-08-17
Last Update Date
2007-08-17
Business Address
-- LORI MALLORY OT
1025 RIDGE RD
LACKAWANNA, NY 14218-1755
Phone number: 716-822-4781
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Mailing Address
-- LORI MALLORY OT
1025 RIDGE RD
LACKAWANNA, NY 14218-1755
Phone number: 716-822-4781
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