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1104125814
ELLEN DISLER
FARMINGTON HILLS, MI
NPI
1104125814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001539A)
Enumeration Date
2011-03-21
Last Update Date
2011-03-21
Business Address
-- ELLEN DISLER COTA
27240 HAGGERTY RD # 15
FARMINGTON HILLS, MI 48331-5716
Phone number: 248-488-0350
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Mailing Address
-- ELLEN DISLER COTA
1586 PREIDT CIR
FRANKLIN, IN 46131-7589
Phone number: 248-488-0350
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