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KELLY BAULL COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1740589332

Individual Registrant:
 KELLY  BAULL COTA/L
Gender: F
Sole Proprietor

Location and contact information for practice:
700 MARVEL RD  MILFORD, DE 19963-1740 US
Tel: 302-422-3303  Fax: --

Contact information for business:
35313 HONEYSUCKLE RD  FRANKFORD, DE 19945-4522 US
Tel: --  Fax: --

Registration Information:
NPI: 1740589332
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
DEU2-0000927

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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