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1891200192
BRANDI SULLIVAN
FORT WAYNE, IN
NPI
1891200192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 32003246A)
Enumeration Date
2017-12-08
Last Update Date
2020-11-12
Business Address
BRANDI SULLIVAN COTA
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-497-0328
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Mailing Address
BRANDI SULLIVAN COTA
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number:
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