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1154092419
CHARLES ALEXANDER
JOHNSON CITY, TN
NPI
1154092419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN ota0000003226)
Enumeration Date
2021-09-25
Last Update Date
2021-09-25
Business Address
CHARLES ALEXANDER COTA
156 SHADYBROOK DR
JOHNSON CITY, TN 37604-3514
Phone number: 423-794-6315
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Mailing Address
CHARLES ALEXANDER COTA
156 SHADYBROOK DR
JOHNSON CITY, TN 37604-3514
Phone number: 423-794-6315
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