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NPI Code Detail

MEDICARE: MADELINE HUNT COTA

MEDICARE:   MADELINE  HUNT  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 Assistant1187NE

General Provider Information

NPI Number : 1336924257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE HUNT COTA
Provider Business Mailing Address
First Line : 2600 COMPASS RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8001
Country : US
Telephone Number : 877-787-3422
Fax Number :
Provider Business Practice Location Address
First Line : 1005 N 8TH ST
Second Line :
City : LOUP CITY
State : NE
Zip : 68853-8215
Country : US
Telephone Number : 308-747-0303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2023
Last Update Date : 09/05/2023

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Directions to “ MADELINE HUNT COTA” Practice Location

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