CASEY DEANNA SELF

BOWLING GREEN, KY
NPI1801319314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2017-07-18
Last Update Date2017-07-18
Business Address
CASEY DEANNA SELF COTA/L
944 FIELDS DR STE 102
BOWLING GREEN, KY 42104-5341
Phone number: 270-495-1312
Mailing Address
CASEY DEANNA SELF COTA/L
920 CLARENCE O DELL RD
BOWLING GREEN, KY 42101-8240
Phone number: 1270-218-2421
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