NICOLE MARIE TEATER

ORANGE CITY, FL
NPI1811291057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA 11355)
Enumeration Date2011-01-03
Last Update Date2011-01-03
Business Address
-- NICOLE MARIE TEATER COTA
500 GRAND PLAZA DR
ORANGE CITY, FL 32763-7900
Phone number: 386-775-3561
Mailing Address
-- NICOLE MARIE TEATER COTA
945 GLENWOOD RD
DELAND, FL 32720-2376
Phone number: 386-956-3380
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