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1346817756
KIRSTEN WALLACE
HARTSELLE, AL
NPI
1346817756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 5127)
Enumeration Date
2021-06-06
Last Update Date
2021-06-06
Business Address
KIRSTEN WALLACE COTA
530 SPARKMAN ST SW
HARTSELLE, AL 35640-3120
Phone number: 256-585-5925
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Mailing Address
KIRSTEN WALLACE COTA
530 SPARKMAN ST SW
HARTSELLE, AL 35640-3120
Phone number: 256-585-5925
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