JACOB STEPHEN LAWRENCE

PHOENIX, AZ
NPI1043749302
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  6921)
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
JACOB STEPHEN LAWRENCE COTA
3116 W. HARTFORD DR.
PHOENIX, AZ 85053
Phone number: 480-544-8751
Mailing Address
JACOB STEPHEN LAWRENCE COTA
3116 W HARTFORD DR
PHOENIX, AZ 85053-1820
Phone number: 480-544-8751
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