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1548685167
CARLA BLAKE
EAST LIVERPOOL, OH
NPI
1548685167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA.03877)
Enumeration Date
2014-02-19
Last Update Date
2023-11-13
Business Address
CARLA BLAKE COTA/L
425 W 5TH ST
EAST LIVERPOOL, OH 43920-2498
Phone number: 304-479-0633
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Mailing Address
CARLA BLAKE COTA/L
427 LOUISIANA AVE
CHESTER, WV 26034-1234
Phone number: 304-479-0633
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