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NPI Code Detail

MEDICARE: SUZANNE MARIE LONDON COTA

MEDICARE: SUZANNE MARIE LONDON 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 Assistant965NE

General Provider Information

NPI Number : 1326494956
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE MARIE LONDON COTA
Provider Business Mailing Address
First Line : 2385 141 RD
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-7680
Country : US
Telephone Number : 402-920-1662
Fax Number :
Provider Business Practice Location Address
First Line : 4715 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1622
Country : US
Telephone Number : 402-942-9272
Fax Number : 402-942-9297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2016
Last Update Date : 05/12/2016

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Directions to “ SUZANNE MARIE LONDON COTA” Practice Location

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