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1174642409
TRACY LAWAND KELSO
ROANOKE, VA
NPI
1174642409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 1056802)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
TRACY LAWAND KELSO COTA
1127 PERSINGER RD SW
ROANOKE, VA 24015-3829
Phone number: 540-343-1696
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Mailing Address
TRACY LAWAND KELSO COTA
4951 POMEROY RD NW
ROANOKE, VA 24017-4627
Phone number: 540-793-1153
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