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NPI Code Detail

MEDICARE: EMILY ATKINS COTA/L

MEDICARE: EMILY ATKINS 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 Assistant5511SC

General Provider Information

NPI Number : 1073212452
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ATKINS COTA/L
Provider Business Mailing Address
First Line : 80 GRASSLAND RD
Second Line :
City : CAMPOBELLO
State : SC
Zip : 29322-9707
Country : US
Telephone Number : 864-580-8871
Fax Number :
Provider Business Practice Location Address
First Line : 319 GARLINGTON RD STE B5
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4621
Country : US
Telephone Number : 864-417-8423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2023
Last Update Date : 02/24/2023

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Directions to “ EMILY ATKINS COTA/L” Practice Location

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