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1942827779
EKATERINA KOROTKOVA
KISSIMMEE, FL
NPI
1942827779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA16120)
Enumeration Date
2020-06-27
Last Update Date
2020-06-27
Business Address
EKATERINA KOROTKOVA COTA/L
3501 W VINE ST STE 130
KISSIMMEE, FL 34741-4660
Phone number: 407-536-0485
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Mailing Address
EKATERINA KOROTKOVA COTA/L
2530 LAKE DEBRA DR APT 104
ORLANDO, FL 32835-8733
Phone number:
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