BLAKE ALEXANDER MCKOY

MADISON, AL
NPI1619187606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  2560)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Mr. BLAKE ALEXANDER MCKOY COTA
3891 SULLIVAN ST
MADISON, AL 35758-1740
Phone number: 256-772-9243
Mailing Address
Mr. BLAKE ALEXANDER MCKOY COTA
1922 W BROWNSTONE CT SW
DECATUR, AL 35603-2030
Phone number:
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