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1104326420
AMBER RAE WEAVER
GRAND PRAIRIE, TX
NPI
1104326420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214865)
Enumeration Date
2018-02-13
Last Update Date
2021-11-03
Business Address
AMBER RAE WEAVER COTA
1901 N HWY 360 # 410
GRAND PRAIRIE, TX 75050-1412
Phone number: 817-652-2924
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Mailing Address
AMBER RAE WEAVER COTA
1202 RED BIRD LN
GRANBURY, TX 76048-2503
Phone number:
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