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1003535774
STACY JEAN
HOUSTON, TX
NPI
1003535774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 474043)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
STACY JEAN COTA
15035 FELGATE CREEK DR
HOUSTON, TX 77084-1470
Phone number: 401-660-8112
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Mailing Address
STACY JEAN COTA
15035 FELGATE CREEK DR
HOUSTON, TX 77084-1470
Phone number: 401-660-8112
Copy
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