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1306044060
BRANDY SUSANN RIDDLE
HALEYVILLE, AL
NPI
1306044060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 2562)
Enumeration Date
2007-07-04
Last Update Date
2007-07-08
Business Address
-- BRANDY SUSANN RIDDLE COTA
2201 11TH AVE
HALEYVILLE, AL 35565-1613
Phone number: 205-486-9478
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Mailing Address
-- BRANDY SUSANN RIDDLE COTA
270 COUNTY ROAD 51
HALEYVILLE, AL 35565-7135
Phone number: 205-486-3141
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