TIMOTHY SLATTERY

FORT WAYNE, IN
NPI1902121999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  1916)
Enumeration Date2010-04-01
Last Update Date2010-04-01
Business Address
Mr. TIMOTHY SLATTERY COTA
2504 MEDFORD DR
FORT WAYNE, IN 46803-3131
Phone number: 260-610-3611
Mailing Address
Mr. TIMOTHY SLATTERY COTA
2504 MEDFORD DR
FORT WAYNE, IN 46803-3131
Phone number: 260-610-3611
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