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NPI Code Detail

MEDICARE: SUSAN STRANDBURG COTA

MEDICARE: SUSAN STRANDBURG 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 Assistant007893-1NY
2224Z00000XOccupational Therapy AssistantOP007109PA
3224Z00000XOccupational Therapy Assistant00517OH
4224Z00000XOccupational Therapy Assistant0131001217VA

General Provider Information

NPI Number : 1528489952
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN STRANDBURG COTA
Provider Business Mailing Address
First Line : 4600 SOUTHWOOD HEIGHTS DR
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9595
Country : US
Telephone Number : 315-469-1300
Fax Number :
Provider Business Practice Location Address
First Line : 4600 SOUTHWOOD HEIGHTS DR
Second Line :
City : JAMESVILLE
State : NY
Zip : 13078-9595
Country : US
Telephone Number : 315-469-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2014
Last Update Date : 01/03/2014

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Directions to “ SUSAN STRANDBURG COTA” Practice Location

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