STEPHANIE BLACKMORE

COLTON, CA
NPI1306059035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  COTA1152)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- STEPHANIE BLACKMORE COTA
1001 E COOLEY DR STE 101
COLTON, CA 92324-3941
Phone number: 909-783-1111
Mailing Address
-- STEPHANIE BLACKMORE COTA
1001 E COOLEY DR STE 101
COLTON, CA 92324-3941
Phone number: 909-783-1111
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