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NPI Code Detail

MEDICARE: MRS. VIRGINIA WEIGLY COTA/L

MEDICARE: MRS. VIRGINIA WEIGLY 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 AssistantOTA17241FL

General Provider Information

NPI Number : 1528653102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VIRGINIA WEIGLY COTA/L
Provider Business Mailing Address
First Line : 12014 OTTER CREEK TRL
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-4116
Country : US
Telephone Number : 850-459-2797
Fax Number :
Provider Business Practice Location Address
First Line : 6135 WILLIAMS RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-9107
Country : US
Telephone Number : 850-294-9716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2021
Last Update Date : 03/04/2021

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