PATRICK KELLY

SOUTH BEND, IN
NPI1831572478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001291A)
Enumeration Date2015-07-01
Last Update Date2015-07-01
Business Address
-- PATRICK KELLY COTA
52565 SR 933
SOUTH BEND, IN 46637
Phone number: 574-247-7044
Mailing Address
-- PATRICK KELLY COTA
1512 OAKDALE DR
SOUTH BEND, IN 46614-2847
Phone number: 574-323-6772
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