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1164636015
EMILIE ANNETTE OTIS
HOMER, AK
NPI
1164636015
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Former Name
EMILIE ANNETTE COVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 1454)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Mrs. EMILIE ANNETTE OTIS PTA
4300 BARTLETT STREET
HOMER, AK 99603
Phone number: 907-235-0370
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Mailing Address
Mrs. EMILIE ANNETTE OTIS PTA
41364 CHARLIE DRIVE
HOMER, AK 99603
Phone number: 907-235-0706
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