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NPI Code Detail

MEDICARE: JULIA GRACE PALMER COTA/L

MEDICARE: JULIA GRACE PALMER COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant281795KY

General Provider Information

NPI Number : 1003745548
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA GRACE PALMER COTA/L
Provider Business Mailing Address
First Line : 2590 MADISON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-1132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 CARMEL MANOR DR
Second Line :
City : FORT THOMAS
State : KY
Zip : 41075-2300
Country : US
Telephone Number : 859-781-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ JULIA GRACE PALMER COTA/L” Practice Location

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