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1750637807
BENNETT T COUSLAND
WHEAT RIDGE, CO
NPI
1750637807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 1043282)
Enumeration Date
2012-07-26
Last Update Date
2012-07-26
Business Address
-- BENNETT T COUSLAND COTA
6270 W 38TH AVE
WHEAT RIDGE, CO 80033-5056
Phone number: 303-421-6520
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Mailing Address
-- BENNETT T COUSLAND COTA
2950 OTIS CT
WHEAT RIDGE, CO 80214-8047
Phone number: 720-435-4044
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