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1043642291
AMANDA MICHELLE AYALA
PHILADELPHIA, PA
NPI
1043642291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP007456)
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
-- AMANDA MICHELLE AYALA COTA
1930 S BROAD ST
PHILADELPHIA, PA 19145-2328
Phone number: 267-570-5342
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Mailing Address
-- AMANDA MICHELLE AYALA COTA
523 W BUTLER ST
PHILADELPHIA, PA 19140-3330
Phone number: 904-655-8478
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