STEVEN BLAKE JUNIOR

ANNISTON, AL
NPI1407321268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  4835)
Enumeration Date2018-10-09
Last Update Date2018-10-09
Business Address
STEVEN BLAKE JUNIOR COTA/L
2300 COLEMAN RD
ANNISTON, AL 36207-6824
Phone number: 256-831-5730
Mailing Address
STEVEN BLAKE JUNIOR COTA/L
2300 COLEMAN RD
ANNISTON, AL 36207-6824
Phone number:
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