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NPI Code Detail

MEDICARE: ERICA M DEXTER COTA/L

MEDICARE: ERICA M DEXTER 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
1225X00000XOccupational TherapistOT-A1889AR

General Provider Information

NPI Number : 1578271227
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA M DEXTER COTA/L
Provider Business Mailing Address
First Line : 130 UNDERHILL RD
Second Line :
City : BEEBE
State : AR
Zip : 72012-9751
Country : US
Telephone Number : 501-230-3100
Fax Number :
Provider Business Practice Location Address
First Line : 130 UNDERHILL RD
Second Line :
City : BEEBE
State : AR
Zip : 72012-9751
Country : US
Telephone Number : 501-230-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2022
Last Update Date : 11/11/2022

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Directions to “ ERICA M DEXTER COTA/L” Practice Location

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