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1912183237
DETISHIA DENISE DANIELS
ATLANTA, GA
NPI
1912183237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA 000847)
Enumeration Date
2008-01-16
Last Update Date
2008-01-16
Business Address
Mrs. DETISHIA DENISE DANIELS COTA
6849 PEACHTREE DUNWOODY RD NE
ATLANTA, GA 30328-1610
Phone number: 678-587-9922
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Mailing Address
Mrs. DETISHIA DENISE DANIELS COTA
1436 WILSON MANOR CIR
LAWRENCEVILLE, GA 30045-3752
Phone number:
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