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1427378744
DAVID FORD
DANVILLE, IL
NPI
1427378744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057000521)
Enumeration Date
2010-06-09
Last Update Date
2010-06-09
Business Address
-- DAVID FORD COTA
620 WARRINGTON AVE
DANVILLE, IL 61832-5446
Phone number: 217-446-0660
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Mailing Address
-- DAVID FORD COTA
550 FRONTAGE RD SUITE 2415
NORTHFIELD, IL 60093-1202
Phone number: 847-441-5593
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