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1033503313
JESSICA WHITE
LOUISVILLE, KY
NPI
1033503313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY a3316)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
-- JESSICA WHITE COTA/L
4604 LOWE RD
LOUISVILLE, KY 40220-1514
Phone number: 502-759-1332
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Mailing Address
-- JESSICA WHITE COTA/L
PO BOX 991543
LOUISVILLE, KY 40269-1543
Phone number: 502-759-1332
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