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1053767665
HOLLY ALLEN
FAYETTEVILLE, AR
NPI
1053767665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A856)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
-- HOLLY ALLEN COTA
48 W COLT SQUARE DR
FAYETTEVILLE, AR 72703-2813
Phone number: 479-582-2740
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Mailing Address
-- HOLLY ALLEN COTA
12 W DICKSON ST #1162
FAYETTEVILLE, AR 72702-7217
Phone number: 812-568-4150
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