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1386180651
LORI WOODDELL
DANIELS, WV
NPI
1386180651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV c1468)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
-- LORI WOODDELL COTA
1631 RITTER DR
DANIELS, WV 25832-9264
Phone number: 304-763-3051
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Mailing Address
-- LORI WOODDELL COTA
1631 RITTER DR
DANIELS, WV 25832-9264
Phone number: 304-763-3051
Copy
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