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1851809420
KELLY PENNOCK
MC LEAN, VA
NPI
1851809420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2018-01-17
Last Update Date
2018-01-17
Business Address
KELLY PENNOCK COTA
1739 KIRBY RD
MC LEAN, VA 22101-4817
Phone number: 800-451-5121
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Mailing Address
KELLY PENNOCK COTA
2238 WHITCOMB PL
FALLS CHURCH, VA 22046-1852
Phone number: 540-840-2247
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