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1205241460
JOELLEN DOHERTY
DEARBORN, MI
NPI
1205241460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
-- JOELLEN DOHERTY COTA
3101 S GULLEY RD STE F-G
DEARBORN, MI 48124-4406
Phone number: 734-407-2500
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Mailing Address
-- JOELLEN DOHERTY COTA
136 WILLIAM ST
SPRINGFIELD, MA 01105-2324
Phone number: 800-218-9280
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