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1699274084
TRAVIS RAY PICKENS
KATY, TX
NPI
1699274084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214177)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
Mr. TRAVIS RAY PICKENS COTA
21630 MERCHANT WAY
KATY, TX 77449
Phone number: 832-230-1518
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Mailing Address
Mr. TRAVIS RAY PICKENS COTA
4618 CONNORVALE RD
HOUSTON, TX 77039-3515
Phone number: 713-894-7494
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