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1750632014
KELLY ANDERSON
WINCHESTER, KY
NPI
1750632014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A5335)
Enumeration Date
2012-09-27
Last Update Date
2012-09-27
Business Address
-- KELLY ANDERSON COTA
9 WAVELAND AVE
WINCHESTER, KY 40391-1231
Phone number: 855-584-5845
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Mailing Address
-- KELLY ANDERSON COTA
9 WAVELAND AVE
WINCHESTER, KY 40391-1231
Phone number: 855-584-5845
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