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NPI Code Detail

MEDICARE: KARLENE DILLON COTA/L

MEDICARE:   KARLENE  DILLON  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 Assistant215047TX

General Provider Information

NPI Number : 1487134383
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLENE DILLON COTA/L
Provider Business Mailing Address
First Line : 3400 S BRAHMA BLVD APT 1B
Second Line :
City : KINGSVILLE
State : TX
Zip : 78363-7304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 S TERRELL ST
Second Line :
City : FALFURRIAS
State : TX
Zip : 78355-4902
Country : US
Telephone Number : 361-325-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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Directions to “ KARLENE DILLON COTA/L” Practice Location

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