EDMOND THOMAS COKER

BONAIRE, GA
NPI1942751714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  362282)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
-- EDMOND THOMAS COKER COTA/L
104 LINKS VIEW CT
BONAIRE, GA 31005-4752
Phone number: 478-447-2390
Mailing Address
-- EDMOND THOMAS COKER COTA/L
104 LINKS VIEW CT
BONAIRE, GA 31005-4752
Phone number: 478-447-2390