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1811147432
CAROL BALES
MARYVILLE, TN
NPI
1811147432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN OTA0000001598)
Enumeration Date
2008-09-19
Last Update Date
2008-09-19
Business Address
CAROL BALES COTA/L
1012 JAMESTOWN WAY
MARYVILLE, TN 37803-5865
Phone number: 865-984-7400
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Mailing Address
CAROL BALES COTA/L
904 HENRIETTA DR
KNOXVILLE, TN 37912-3154
Phone number: 865-688-3660
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