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NPI Code Detail

MEDICARE: SHELLY A MCCANN COTA

MEDICARE: SHELLY A MCCANN 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
1224Z00000XOccupational Therapy Assistant2729MA

General Provider Information

NPI Number : 1023132891
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY A MCCANN COTA
Provider Business Mailing Address
First Line : 399 OAK GROVE AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-2718
Country : US
Telephone Number : 508-675-2634
Fax Number :
Provider Business Practice Location Address
First Line : 495 NEW BOSTON RD
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-5835
Country : US
Telephone Number : 508-679-0106
Fax Number : 508-674-1570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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Directions to “ SHELLY A MCCANN COTA” Practice Location

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