BLAKE SANCA

TYLER, TX
NPI1689091498
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  212430)
Enumeration Date2014-03-19
Last Update Date2014-03-19
Business Address
Mr. BLAKE SANCA COTA
3200 TROUP HWY
TYLER, TX 75701-8397
Phone number: 903-253-0095
Mailing Address
Mr. BLAKE SANCA COTA
3200 TROUP HWY
TYLER, TX 75701-8397
Phone number: 903-253-0095
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