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1386176592
CHARLOTTE BROCK
LOUISVILLE, KY
NPI
1386176592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 170593)
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
-- CHARLOTTE BROCK COTA/L
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
-- CHARLOTTE BROCK COTA/L
3953 WEBER WAY
LEXINGTON, KY 40514-1009
Phone number: 859-202-1316
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