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1467068775
KAITY CORLISS MITCHELL
SOUTH BEND, IN
NPI
1467068775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
KAITY CORLISS MITCHELL COTA
3016 PORTAGE AVE
SOUTH BEND, IN 46628-3501
Phone number: 574-800-1305
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Mailing Address
KAITY CORLISS MITCHELL COTA
2452 KERRY DR
VALPARAISO, IN 46385-0028
Phone number:
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