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NPI Code Detail

MEDICARE: AISHA SHIRAZ ISLAM COTA

MEDICARE:   AISHA SHIRAZ ISLAM  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 Assistant217157TX

General Provider Information

NPI Number : 1225795404
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISHA SHIRAZ ISLAM COTA
Provider Business Mailing Address
First Line : 13931 WINDWOOD FALLS LN
Second Line :
City : HUMBLE
State : TX
Zip : 77396-1583
Country : US
Telephone Number : 832-878-0728
Fax Number :
Provider Business Practice Location Address
First Line : 13931 WINDWOOD FALLS LN
Second Line :
City : HUMBLE
State : TX
Zip : 77396-1583
Country : US
Telephone Number : 832-878-0728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2021
Last Update Date : 11/22/2021

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Directions to “ AISHA SHIRAZ ISLAM COTA” Practice Location

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