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1083262935
KRISTIAN ASHLEY RAY
FORT WORTH, TX
NPI
1083262935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215831)
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
KRISTIAN ASHLEY RAY COTA
1050 LAKE VIEW RDG
FORT WORTH, TX 76108-3023
Phone number: 817-480-0729
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Mailing Address
KRISTIAN ASHLEY RAY COTA
1050 LAKE VIEW RDG
FORT WORTH, TX 76108-3023
Phone number: 817-480-0729
Copy
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