MEDICARE: MIGUEL A. SANCHEZ JR. COTA

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
1	224Z00000X	Occupational Therapy Assistant	209868	TX

General Provider Information

NPI Number	:	1013183029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGUEL A. SANCHEZ JR. COTA

Provider Business Mailing Address
First Line	:	4120 ANDREA CT
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78046-5713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4151 JAIME ZAPATA MEMORIAL HWY
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78043-4725
Country	:	US
Telephone Number	:	956-208-8840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	03/25/2015

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