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1083038509
JENNIFER BLOOM
ASHTABULA, OH
NPI
1083038509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH 02396)
Enumeration Date
2014-02-05
Last Update Date
2020-08-26
Business Address
-- JENNIFER BLOOM COTA
2141 W PROSPECT RD
ASHTABULA, OH 44004-6439
Phone number: 440-998-7505
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Mailing Address
-- JENNIFER BLOOM COTA
2321 W 16TH ST
ASHTABULA, OH 44004-2421
Phone number: 440-812-1626
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