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1235560442
RENE MICHAEL ACOSTA
MARION, IN
NPI
1235560442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA12090)
Enumeration Date
2013-12-13
Last Update Date
2013-12-13
Business Address
-- RENE MICHAEL ACOSTA OTA
1800 N WABASH RD
MARION, IN 46952-1300
Phone number: 765-664-5400
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Mailing Address
-- RENE MICHAEL ACOSTA OTA
8475 JAMESTOWN DR
WINTER HAVEN, FL 33884-4820
Phone number:
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