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1740640119
ANGELA WALTERS
PADUCAH, KY
NPI
1740640119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 134992)
Enumeration Date
2016-02-29
Last Update Date
2017-06-23
Business Address
-- ANGELA WALTERS COTA/L
142 STUART NELSON PARK RD
PADUCAH, KY 42001-9678
Phone number: 270-442-9502
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Mailing Address
-- ANGELA WALTERS COTA/L
3728 UPPER SALEM RD
METROPOLIS, IL 62960-3091
Phone number:
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