KELLIE BUCKHALTER

IRONDALE, AL
NPI1861170375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  4016)
Enumeration Date2023-07-06
Last Update Date2023-07-06
Business Address
KELLIE BUCKHALTER COTA
1424 MONTCLAIR RD
IRONDALE, AL 35210-2208
Phone number: 800-381-0822
Mailing Address
KELLIE BUCKHALTER COTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-381-0822