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1073165056
EMILY PENROSE
FORT WORTH, TX
NPI
1073165056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
EMILY PENROSE COTA
7100 TRAIL LAKE DR
FORT WORTH, TX 76123-1969
Phone number: 817-263-2224
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Mailing Address
EMILY PENROSE COTA
6150 BROWNING DR APT 31202
NORTH RICHLAND HILLS, TX 76180-5398
Phone number:
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