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NPI Code Detail

MEDICARE: MRS. AMY REBECCA COLEMAN-EAKINS COTA

MEDICARE: MRS. AMY REBECCA COLEMAN-EAKINS 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 Assistant00233IA

General Provider Information

NPI Number : 1396791596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY REBECCA COLEMAN-EAKINS COTA
Provider Business Mailing Address
First Line : 1454 30TH STREET
Second Line : SUITE 103
City : WEST DES MOINES
State : IA
Zip : 50266-1312
Country : US
Telephone Number : 515-223-6620
Fax Number : 515-223-9625
Provider Business Practice Location Address
First Line : 1454 30TH STREET
Second Line : SUITE 103
City : WEST DES MOINES
State : IA
Zip : 50266-1312
Country : US
Telephone Number : 515-223-6620
Fax Number : 515-223-9625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/08/2007

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