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1386099240
TERRY CRAVENS
ATLANTA, GA
NPI
1386099240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA002007)
Enumeration Date
2016-04-28
Last Update Date
2016-04-28
Business Address
Mr. TERRY CRAVENS COTA
3088 LENOX RD NE
ATLANTA, GA 30324-2894
Phone number: 404-846-8335
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Mailing Address
Mr. TERRY CRAVENS COTA
1415 RED TAIL CT
MABLETON, GA 30126-1269
Phone number: 321-914-9129
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