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1932685443
STEVEN RICHARDSON
COOKEVILLE, TN
NPI
1932685443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3040)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
STEVEN RICHARDSON COTA
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number: 931-528-5516
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Mailing Address
STEVEN RICHARDSON COTA
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number:
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