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1104097559
SAMANTHA LANE
ROANOKE, VA
NPI
1104097559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000829)
Enumeration Date
2008-03-13
Last Update Date
2011-02-02
Business Address
SAMANTHA LANE COTA
3503 WEDGEWOOD RD SW
ROANOKE, VA 24015-4437
Phone number: 540-400-0359
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Mailing Address
SAMANTHA LANE COTA
3503 WEDGEWOOD RD SW
ROANOKE, VA 24015-4437
Phone number: 540-400-0359
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