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1295365328
SAMANTHA BASHAM
OWENSBORO, KY
NPI
1295365328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 173060)
Enumeration Date
2020-01-16
Last Update Date
2023-01-04
Business Address
SAMANTHA BASHAM COTA
815 TRIPLETT ST
OWENSBORO, KY 42303-3564
Phone number: 270-683-4517
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Mailing Address
SAMANTHA BASHAM COTA
815 TRIPLETT ST
OWENSBORO, KY 42303-3564
Phone number: 270-683-4517
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