ANGELA KAY SHANKS

LOUISVILLE, KY
NPI1386994796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202007492)
Enumeration Date2012-09-12
Last Update Date2012-10-05
Business Address
-- ANGELA KAY SHANKS COTA/L
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
-- ANGELA KAY SHANKS COTA/L
5230 REGIMENTAL BANNER DR
GRAND BLANC, MI 48439-8731
Phone number: 810-265-3531
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