MATTHEW CHRISTOPHER BORTON

COEUR D ALENE, ID
NPI1215361985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  5240)
Enumeration Date2013-08-29
Last Update Date2014-07-14
Business Address
Mr. MATTHEW CHRISTOPHER BORTON COTA
210 W LACROSSE AVE
COEUR D ALENE, ID 83814-2403
Phone number: 208-664-2185
Mailing Address
Mr. MATTHEW CHRISTOPHER BORTON COTA
18033 N 7TH DR
PHOENIX, AZ 85023-1503
Phone number: 602-374-3247
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