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1932783701
THOMAS FOGARTY
ANAHEIM, CA
NPI
1932783701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 5434)
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
THOMAS FOGARTY COTA
216 S LEANDRO ST
ANAHEIM, CA 92807-3931
Phone number: 714-328-8030
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Mailing Address
THOMAS FOGARTY COTA
216 S LEANDRO ST
ANAHEIM, CA 92807-3931
Phone number: 714-328-8030
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