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1306231956
BRAD WOOTEN
SPRINGFIELD, TN
NPI
1306231956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A781)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- BRAD WOOTEN COTA
3131 TOM AUSTIN HWY
SPRINGFIELD, TN 37172-4801
Phone number: 615-382-7979
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Mailing Address
-- BRAD WOOTEN COTA
6 LONGFIELD DR
GREENBRIER, AR 72058-9160
Phone number: 501-208-7180
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