LA ATIS

FLORISSANT, MO
NPI1306193438
Former NameLIONEL ATIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2012006010)
Enumeration Date2012-08-08
Last Update Date2012-08-08
Business Address
Mr. LA ATIS COTA
1065 DAUPHIN LN
FLORISSANT, MO 63033
Phone number: 314-630-7326
Mailing Address
Mr. LA ATIS COTA
1065 DAUPHIN LN
FLORISSANT, MO 63033-5929
Phone number: 314-630-7326
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