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NPI Code Detail

MEDICARE: BRITTANY ELIZABETH ITNYRE COTA

MEDICARE: BRITTANY ELIZABETH ITNYRE 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 Assistant287425WI

General Provider Information

NPI Number : 1063759991
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY ELIZABETH ITNYRE COTA
Provider Business Mailing Address
First Line : 3444 MIDVALE DR APT 8
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-3436
Country : US
Telephone Number : 608-386-7011
Fax Number :
Provider Business Practice Location Address
First Line : 1702 S RIVER RD
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-5648
Country : US
Telephone Number : 608-756-0344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2013
Last Update Date : 08/19/2020

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