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1730647306
KELLY TALLEY
LEES SUMMIT, MO
NPI
1730647306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2019005336)
Enumeration Date
2019-03-03
Last Update Date
2024-01-15
Business Address
KELLY TALLEY COTA
2706 NE INDEPENDENCE AVE
LEES SUMMIT, MO 64064-2323
Phone number: 816-446-9018
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Mailing Address
KELLY TALLEY COTA
2412 SW RIVER TRAIL RD
LEES SUMMIT, MO 64082-7811
Phone number: 816-446-9018
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