SHANE PRATER

LA FOLLETTE, TN
NPI1689013955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  2132)
Enumeration Date2013-06-20
Last Update Date2013-06-20
Business Address
Mr. SHANE PRATER COTA
136 DAVIS LN
LA FOLLETTE, TN 37766-3118
Phone number: 423-562-4760
Mailing Address
Mr. SHANE PRATER COTA
136 DAVIS LN
LA FOLLETTE, TN 37766-3118
Phone number: 423-562-4760
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