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1386410850
TAYLOR WALLACE
KENNETT SQUARE, PA
NPI
1386410850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP009719)
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
TAYLOR WALLACE COTA/L
148 W STATE ST STE 103
KENNETT SQUARE, PA 19348-3055
Phone number: 484-432-1614
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Mailing Address
TAYLOR WALLACE COTA/L
700 CHERRY TREE RD APT G2
UPPER CHICHESTER, PA 19014-2450
Phone number:
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