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1548509136
DIANE DECOSTY
JACKSONVILLE, FL
NPI
1548509136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 10886)
Enumeration Date
2013-02-03
Last Update Date
2013-02-03
Business Address
-- DIANE DECOSTY COTA/L
4101 SOUTHPOINT DR E
JACKSONVILLE, FL 32216-0996
Phone number: 904-296-6800
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Mailing Address
-- DIANE DECOSTY COTA/L
4101 SOUTHPOINT DR E
JACKSONVILLE, FL 32216-0996
Phone number:
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