LILY LORETTA STEVENS

AUSTELL, GA
NPI1548732621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA001835)
Enumeration Date2018-12-29
Last Update Date2018-12-29
Business Address
Mrs. LILY LORETTA STEVENS COTA
2000 E WEST CONNECTOR
AUSTELL, GA 30106-1194
Phone number: 770-819-7003
Mailing Address
Mrs. LILY LORETTA STEVENS COTA
5052 HUNTCREST DR SW
MABLETON, GA 30126-2065
Phone number:
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