JEFFREY CLAY WILLIS

COLUMBUS, IN
NPI1568950707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32003316A)
Enumeration Date2018-04-24
Last Update Date2018-04-24
Business Address
JEFFREY CLAY WILLIS COTA
2564 FOXPOINTE DRIVE
COLUMBUS, IN 47203
Phone number: 812-375-8869
Mailing Address
JEFFREY CLAY WILLIS COTA
3519 HARMONY LN
CHARLESTOWN, IN 47111-8660
Phone number: 812-375-8869