KOLETTA RAE CLARKE

MOUNT VERNON, IL
NPI1285924092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.003262)
Enumeration Date2011-04-13
Last Update Date2011-04-13
Business Address
-- KOLETTA RAE CLARKE COTA
208 ZACHERY DR
MOUNT VERNON, IL 62864-6712
Phone number: 618-204-5497
Mailing Address
-- KOLETTA RAE CLARKE COTA
13907 N DARTMOUTH LN
MOUNT VERNON, IL 62864-9823
Phone number: 618-237-7444
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