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1265839153
TREY ALLEN WILSON
LOUISVILLE, KY
NPI
1265839153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002760A)
Enumeration Date
2014-11-20
Last Update Date
2014-11-20
Business Address
-- TREY ALLEN WILSON COTA
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
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Mailing Address
-- TREY ALLEN WILSON COTA
1123 W 2ND ST
ANDERSON, IN 46016-2315
Phone number: 765-774-2259
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