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NPI Code Detail

MEDICARE: RACHEL ONEY COTA

MEDICARE: RACHEL ONEY 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 Assistant32001442AIN

General Provider Information

NPI Number : 1306226733
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ONEY COTA
Provider Business Mailing Address
First Line : 4180 SAGE BLUFF XING
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-2363
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4180 SAGE BLUFF XING
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-2363
Country : US
Telephone Number : 260-443-7320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2015
Last Update Date : 06/01/2015

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Directions to “ RACHEL ONEY COTA” Practice Location

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