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1134686181
KELLY ELIZABETH STANDLEY
WACO, TX
NPI
1134686181
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Former Name
KELLY ELIZABETH BRICKELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215617)
Enumeration Date
2019-02-26
Last Update Date
2019-02-26
Business Address
Mrs. KELLY ELIZABETH STANDLEY COTA
300 W STATE HIGHWAY 6
WACO, TX 76712-4041
Phone number: 254-761-8500
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Mailing Address
Mrs. KELLY ELIZABETH STANDLEY COTA
2600 COMPASS RD
GLENVIEW, IL 60026-8001
Phone number:
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