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1780340059
CHYNA AVERY
FORT WORTH, TX
NPI
1780340059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 216590)
Enumeration Date
2021-11-11
Last Update Date
2021-11-11
Business Address
CHYNA AVERY COTA
5100 RANDOL MILL RD
FORT WORTH, TX 76112-1553
Phone number: 817-451-8001
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Mailing Address
CHYNA AVERY COTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-804-9961
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