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NPI Code Detail

MEDICARE: KATHERINE MASON COTA/L

MEDICARE: KATHERINE MASON 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 AssistantOTA15539FL

General Provider Information

NPI Number : 1376002196
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MASON COTA/L
Provider Business Mailing Address
First Line : 3303 N LAKEVIEW DR APT 3915
Second Line :
City : TAMPA
State : FL
Zip : 33618-1384
Country : US
Telephone Number : 240-446-8120
Fax Number :
Provider Business Practice Location Address
First Line : 15002 HUTCHISON RD
Second Line :
City : TAMPA
State : FL
Zip : 33625-5509
Country : US
Telephone Number : 813-960-1969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2019
Last Update Date : 03/19/2019

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Directions to “ KATHERINE MASON COTA/L” Practice Location

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