KELLI WALLACE

JACKSONVILLE, AR
NPI1649667353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A969)
Enumeration Date2015-04-20
Last Update Date2015-04-20
Business Address
Mrs. KELLI WALLACE COTA
2701 T P WHITE DR
JACKSONVILLE, AR 72076-2514
Phone number: 501-241-0410
Mailing Address
Mrs. KELLI WALLACE COTA
2701 T P WHITE DR
JACKSONVILLE, AR 72076-2514
Phone number: 501-241-0410
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