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1316610447
CHANDRA LEE
INDIANAPOLIS, IN
NPI
1316610447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32003533A)
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
CHANDRA LEE COTA
1440 E 46TH ST
INDIANAPOLIS, IN 46205-2021
Phone number: 317-918-2689
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Mailing Address
CHANDRA LEE COTA
3422 CARNATION CT
INDIANAPOLIS, IN 46214-1065
Phone number:
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