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NPI Code Detail

MEDICARE: CHELSEA MARIAN FLAMM COTA

MEDICARE: CHELSEA MARIAN FLAMM 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 Assistant

General Provider Information

NPI Number : 1265907968
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA MARIAN FLAMM COTA
Provider Business Mailing Address
First Line : 380 STAGECOACH LN
Second Line :
City : CARBONDALE
State : CO
Zip : 81623-9562
Country : US
Telephone Number : 408-306-3344
Fax Number :
Provider Business Practice Location Address
First Line : 851 E 5TH ST
Second Line :
City : RIFLE
State : CO
Zip : 81650-2941
Country : US
Telephone Number : 800-828-4580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2018
Last Update Date : 10/09/2018

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Directions to “ CHELSEA MARIAN FLAMM COTA” Practice Location

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