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1407187073
AMANDA MARIE SMITHSON
FORT WAYNE, IN
NPI
1407187073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001232A)
Enumeration Date
2010-01-21
Last Update Date
2010-01-21
Business Address
Mrs. AMANDA MARIE SMITHSON COTA
2001 HOBSON RD
FORT WAYNE, IN 46805-4872
Phone number: 260-484-9557
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Mailing Address
Mrs. AMANDA MARIE SMITHSON COTA
629 LILLIAN AVE
FORT WAYNE, IN 46808-2111
Phone number: 260-483-2217
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