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1861170375
KELLIE BUCKHALTER
IRONDALE, AL
NPI
1861170375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 4016)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
KELLIE BUCKHALTER COTA
1424 MONTCLAIR RD
IRONDALE, AL 35210-2208
Phone number: 800-381-0822
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Mailing Address
KELLIE BUCKHALTER COTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-381-0822
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