CASSIDY LEE DEATLEY

BENTON, KY
NPI1063660322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  KYA2844)
Enumeration Date2008-08-28
Last Update Date2008-08-28
Business Address
Mrs. CASSIDY LEE DEATLEY COTA/L
1926 OAK LEVEL RD
BENTON, KY 42025-5322
Phone number: 270-906-2115
Mailing Address
Mrs. CASSIDY LEE DEATLEY COTA/L
1926 OAK LEVEL RD
BENTON, KY 42025-5322
Phone number: 270-906-2115
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