BETHANY DAWN COPPOCK

MARION, IN
NPI1063634699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001358A)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- BETHANY DAWN COPPOCK COTA
4725 COLONIAL OAKS DRIVE
MARION, IN 46953
Phone number: 765-674-9791
Mailing Address
-- BETHANY DAWN COPPOCK COTA
802 S BARCLAY ST
FAIRMOUNT, IN 46928
Phone number: 765-251-1531
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