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NPI Code Detail

MEDICARE: MRS. ANNE MARIE MESSERALL COTA/L

MEDICARE: MRS. ANNE MARIE MESSERALL 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 Assistant02036OH

General Provider Information

NPI Number : 1437498714
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNE MARIE MESSERALL COTA/L
Provider Business Mailing Address
First Line : 4634 HARDSCRABBLE RD
Second Line :
City : ALEXANDRIA
State : OH
Zip : 43001-9758
Country : US
Telephone Number : 740-924-8495
Fax Number :
Provider Business Practice Location Address
First Line : 416 WOOSTER RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-1216
Country : US
Telephone Number : 740-397-9626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2013
Last Update Date : 02/06/2013

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