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1356119721
DEBORAH BACCHUS
ROANOKE, VA
NPI
1356119721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000060)
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
DEBORAH BACCHUS COTA/L
4355 PHEASANT RIDGE RD
ROANOKE, VA 24014-5272
Phone number: 540-725-8210
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Mailing Address
DEBORAH BACCHUS COTA/L
630 HEMLOCK RD NW
ROANOKE, VA 24017-4774
Phone number:
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