KELLY LEE TAYLOR

SOUTH BEND, IN
NPI1821369984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002094A)
Enumeration Date2012-01-21
Last Update Date2012-01-21
Business Address
Miss KELLY LEE TAYLOR COTA
2012 IRONWOOD CIR SUITE 230
SOUTH BEND, IN 46635-1888
Phone number: 574-387-4049
Mailing Address
Miss KELLY LEE TAYLOR COTA
1805 MILBURN BLVD
MISHAWAKA, IN 46544-4629
Phone number: 574-850-8953