JEANIE LOU SMITH

SISSONVILLE, WV
NPI1265778617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C1879)
Enumeration Date2012-12-12
Last Update Date2012-12-12
Business Address
Mrs. JEANIE LOU SMITH COTA
302 CEDER RIDGE RD.
SISSONVILLE, WV 25320
Phone number: 304-984-0046
Mailing Address
Mrs. JEANIE LOU SMITH COTA
598 BERRY HILLS DR
CHARLESTON, WV 25309-6080
Phone number: 681-945-5078
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