TINA E LEE

POPLARVILLE, MS
NPI1831463637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  211219)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA 12143)
224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2655)
Enumeration Date2012-02-27
Last Update Date2012-02-27
Business Address
-- TINA E LEE COTA
2492 SILVER RUN RD
POPLARVILLE, MS 39470-3491
Phone number: 601-916-7752
Mailing Address
-- TINA E LEE COTA
2492 SILVER RUN RD
POPLARVILLE, MS 39470-3491
Phone number: 601-916-7752