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1073289757
MADELINE GRACE LANHAM
LOUISVILLE, KY
NPI
1073289757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 459460)
Enumeration Date
2021-08-21
Last Update Date
2021-08-21
Business Address
MADELINE GRACE LANHAM COTA
15 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1371
Phone number: 502-636-2300
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Mailing Address
MADELINE GRACE LANHAM COTA
100 BRENTFORD DR
LOUISVILLE, KY 40245-7010
Phone number: 502-974-3221
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