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NPI Code Detail

MEDICARE: CIERRRA NICOLE BOWERS COTA/L

MEDICARE:   CIERRRA NICOLE BOWERS  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 AssistantA4679KY

General Provider Information

NPI Number : 1548764640
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIERRRA NICOLE BOWERS COTA/L
Provider Business Mailing Address
First Line : 2706 EDMONTON RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-9577
Country : US
Telephone Number : 281-851-9028
Fax Number :
Provider Business Practice Location Address
First Line : 813 S MAIN ST
Second Line :
City : BROWNSVILLE
State : KY
Zip : 42210-9009
Country : US
Telephone Number : 270-597-2335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 03/22/2018

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Directions to “ CIERRRA NICOLE BOWERS COTA/L” Practice Location

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