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NPI Code Detail

MEDICARE: PAULA WINTZ COTA

MEDICARE: PAULA WINTZ 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 Assistant46TA09041000NJ

General Provider Information

NPI Number : 1164632352
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA WINTZ COTA
Provider Business Mailing Address
First Line : 9 WINCHESTER CT
Second Line :
City : OCEAN VIEW
State : NJ
Zip : 08230-1193
Country : US
Telephone Number : 609-407-0332
Fax Number : 609-407-0332
Provider Business Practice Location Address
First Line : 235 DOLPHIN AVE
Second Line :
City : NORTHFIELD
State : NJ
Zip : 08225-2015
Country : US
Telephone Number : 609-407-0332
Fax Number : 609-407-0332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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