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1013624287
MATTHEW POTTS
LAGRANGE, IN
NPI
1013624287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001213A)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
MATTHEW POTTS COTA
787 N DETROIT ST
LAGRANGE, IN 46761-1111
Phone number: 260-463-2172
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Mailing Address
MATTHEW POTTS COTA
713 WAKEFIELD CIR
KENDALLVILLE, IN 46755-2604
Phone number:
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