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1063600963
SANDRA LEE ROACH
INDIANAPOLIS, IN
NPI
1063600963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32000132A)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
Mrs. SANDRA LEE ROACH COTA
1251 W 96TH ST # N
INDIANAPOLIS, IN 46260-1181
Phone number: 317-407-5361
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Mailing Address
Mrs. SANDRA LEE ROACH COTA
314 W 107TH ST
CARMEL, IN 46032-9587
Phone number: 317-571-9296
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