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NPI Code Detail

MEDICARE: DEBRA ANNE WRAY COTA/L

MEDICARE:   DEBRA ANNE WRAY  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 Assistant12196FL

General Provider Information

NPI Number : 1326619677
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA ANNE WRAY COTA/L
Provider Business Mailing Address
First Line : 1920 NW 15TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-3907
Country : US
Telephone Number : 704-651-2698
Fax Number :
Provider Business Practice Location Address
First Line : 1920 NW 15TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-3907
Country : US
Telephone Number : 704-651-2698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2021
Last Update Date : 07/08/2021

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Directions to “ DEBRA ANNE WRAY COTA/L” Practice Location

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