KENDALL DEWAYNE JOHNSON

VENICE, FL
NPI1093028318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA10519)
Enumeration Date2010-07-15
Last Update Date2010-07-15
Business Address
Mr. KENDALL DEWAYNE JOHNSON COTA
744 THE RIALTO
VENICE, FL 34285-3524
Phone number: 941-484-5500
Mailing Address
Mr. KENDALL DEWAYNE JOHNSON COTA
3223 BENEVA RD
SARASOTA, FL 34232-4578
Phone number: 727-557-9856
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