KRISTEN WALLACE

MONROE, LA
NPI1013752450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  301141)
Enumeration Date2024-06-27
Last Update Date2024-06-27
Business Address
KRISTEN WALLACE COTA
1605 STUBBS AVE
MONROE, LA 71201-5629
Phone number: 318-388-8414
Mailing Address
KRISTEN WALLACE COTA
1605 STUBBS AVE
MONROE, LA 71201-5629
Phone number: 318-388-8414
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