DEREK JERRED KENT

SIERRA VISTA, AZ
NPI1811663156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  OTA-046990)
Enumeration Date2021-08-17
Last Update Date2021-08-17
Business Address
Mr. DEREK JERRED KENT COTA/L
3305 E FRY BLVD
SIERRA VISTA, AZ 85635-2990
Phone number: 520-515-2754
Mailing Address
Mr. DEREK JERRED KENT COTA/L
600 CHARLES DR APT 232
SIERRA VISTA, AZ 85635-1193
Phone number: 916-729-9600
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