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NPI Code Detail

MEDICARE: MRS. MICHELLE NICOLE WILLIAMS COTA

MEDICARE: MRS. MICHELLE NICOLE WILLIAMS 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 AssistantOTA05178OH

General Provider Information

NPI Number : 1346631744
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE NICOLE WILLIAMS COTA
Provider Business Mailing Address
First Line : 11 WORTHINGTON DR
Second Line :
City : GERMANTOWN
State : OH
Zip : 45327-8348
Country : US
Telephone Number : 937-751-2279
Fax Number :
Provider Business Practice Location Address
First Line : 300 ASTORIA RD
Second Line :
City : GERMANTOWN
State : OH
Zip : 45327-1712
Country : US
Telephone Number : 937-855-2363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2015
Last Update Date : 02/07/2015

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Directions to “ MRS. MICHELLE NICOLE WILLIAMS COTA” Practice Location

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