MEDICARE: ALICIA MARIE SCHMITZ 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
1	224Z00000X	Occupational Therapy Assistant	A02033	MD

General Provider Information

NPI Number	:	1093141921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MARIE SCHMITZ COTA/L

Provider Business Mailing Address
First Line	:	11861 HOLLY PLAINS DR
Second Line	:
City	:	RIDGELY
State	:	MD
Zip	:	21660-1846
Country	:	US
Telephone Number	:	717-576-5612
Fax Number	:

Provider Business Practice Location Address
First Line	:	7330 STATUM RD
Second Line	:
City	:	DENTON
State	:	MD
Zip	:	21629-2637
Country	:	US
Telephone Number	:	717-576-5612
Fax Number	:

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

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	07/20/2022

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