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1023485653
TISHA HOLLANBAUGH
POINT PLEASANT, WV
NPI
1023485653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1680)
Enumeration Date
2015-08-31
Last Update Date
2022-09-20
Business Address
TISHA HOLLANBAUGH COTA /L
2410 JEFFERSON AVE
POINT PLEASANT, WV 25550-1528
Phone number: 304-675-7400
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Mailing Address
TISHA HOLLANBAUGH COTA /L
586 DULY RD
GALLIPOLIS, OH 45631-9401
Phone number: 740-441-7999
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