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1053894725
CHAD DEVOSE
ROWLETT, TX
NPI
1053894725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215144)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
Mr. CHAD DEVOSE COTA
9300LAKEVIEW PARKWAY
ROWLETT, TX 75088
Phone number: 469-734-6225
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Mailing Address
Mr. CHAD DEVOSE COTA
575 NE LOOP 820 APT 1018
HURST, TX 76053-6180
Phone number: 817-846-5285
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