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1174255277
EZINNE MBATA
PHILADELPHIA, PA
NPI
1174255277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP008368)
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
EZINNE MBATA COTA
8410 BUSTLETON AVE APT G18
PHILADELPHIA, PA 19152-1917
Phone number: 215-554-7125
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Mailing Address
EZINNE MBATA COTA
8410 BUSTLETON AVE APT G18
PHILADELPHIA, PA 19152-1917
Phone number: 215-554-7125
Copy
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