DARRIAN MALCOLM

JACKSONVILLE, FL
NPI1669145157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA17938)
Enumeration Date2021-07-29
Last Update Date2021-07-29
Business Address
DARRIAN MALCOLM COTA
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-1402
Phone number: 904-260-1818
Mailing Address
DARRIAN MALCOLM COTA
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-1402
Phone number: