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NPI Code Detail

MEDICARE: ANNAMARIE JUMP COTA/L

MEDICARE:   ANNAMARIE  JUMP  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 Assistant2411MN

General Provider Information

NPI Number : 1194300129
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNAMARIE JUMP COTA/L
Provider Business Mailing Address
First Line : 5620 11TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-2515
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6625 LYNDALE AVE S STE 430
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-2300
Country : US
Telephone Number : 952-285-2840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2021
Last Update Date : 11/10/2024

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Directions to “ ANNAMARIE JUMP COTA/L” Practice Location

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