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NPI Code Detail

MEDICARE: SARAH RYDER COTA

MEDICARE: SARAH RYDER 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 AssistantOP006273PA

General Provider Information

NPI Number : 1164545695
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH RYDER COTA
Provider Business Mailing Address
First Line : 5550 COLUMBIA PIKE APT 412
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-5837
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1785 S HAYES ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-2714
Country : US
Telephone Number : 703-920-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ SARAH RYDER COTA” Practice Location

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