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1588370241
ALEXIS BRANTLEY
PORTLAND, OR
NPI
1588370241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 474029)
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
ALEXIS BRANTLEY COTA
3130 SE STARK ST
PORTLAND, OR 97214-3000
Phone number: 503-535-4700
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Mailing Address
ALEXIS BRANTLEY COTA
15403 REDBUD BERRY WAY
CYPRESS, TX 77433-5888
Phone number: 713-409-9155
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