JEFFERY BROWN

FOUNTAIN INN, SC
NPI1669557880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  2287)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- JEFFERY BROWN COTA
709 QUILLEN AVE
FOUNTAIN INN, SC 29644-9444
Phone number: 864-862-3252
Mailing Address
-- JEFFERY BROWN COTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: