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1194127829
CHANTAE ROBERTS
KENNETT SQUARE, PA
NPI
1194127829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131001286)
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
CHANTAE ROBERTS COTA
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 804-716-1527
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Mailing Address
CHANTAE ROBERTS COTA
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 804-716-1527
Copy
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