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1437304532
TABATHA DANIELLE KELLY
HAMBURG, AR
NPI
1437304532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A468)
Enumeration Date
2008-11-18
Last Update Date
2008-11-18
Business Address
Mrs. TABATHA DANIELLE KELLY COTA/L
1036 S MAIN ST
HAMBURG, AR 71646-8980
Phone number: 870-853-0857
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Mailing Address
Mrs. TABATHA DANIELLE KELLY COTA/L
244 DEAN CHURCH RD
MARION, LA 71260-4222
Phone number: 318-292-5250
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