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1548749328
GRACE WALLACE
HOUSTON, TX
NPI
1548749328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215123)
Enumeration Date
2018-08-12
Last Update Date
2018-08-12
Business Address
GRACE WALLACE COTA
2210 W DALLAS ST APT 1522
HOUSTON, TX 77019-4356
Phone number: 781-626-3729
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Mailing Address
GRACE WALLACE COTA
2210 W DALLAS ST APT 1522
HOUSTON, TX 77019-4356
Phone number: 781-626-3729
Copy
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