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Individual
PAULA JEAN TANCHICO SUN
Active
Individual
PAULA JEAN TANCHICO SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
008019
NY
225X00000X
Occupational Therapist
Primary
019295-1
NY
Other
Enumeration date
09/27/2012
Last updated
04/15/2015
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