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1881188423
ANDI KATELYN OTTO
WACO, TX
NPI
1881188423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214-510)
Enumeration Date
2018-06-18
Last Update Date
2018-06-18
Business Address
Miss ANDI KATELYN OTTO COTA
5400 LAUREL LAKE DR
WACO, TX 76710-2835
Phone number: 254-774-4644
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Mailing Address
Miss ANDI KATELYN OTTO COTA
4578 LEROY PKWY
ELM MOTT, TX 76640-3551
Phone number:
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