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Individual

MR. ANTHONY DEWAYNE TOWNSEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.003235
IL
224Z00000X
Occupational Therapy Assistant
Primary
2010015742
MO

Other

Enumeration date
05/31/2012
Last updated
05/31/2012
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