TRAVES JEFFERY

MADISON, MS
NPI1548685654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2831)
Enumeration Date2014-02-26
Last Update Date2014-02-26
Business Address
-- TRAVES JEFFERY COTA
122 DEVLIN SPRINGS DR
MADISON, MS 39110-6549
Phone number: 601-613-3437
Mailing Address
-- TRAVES JEFFERY COTA
122 DEVLIN SPRINGS DR
MADISON, MS 39110-6549
Phone number:
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