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NPI Code Detail

MEDICARE: JO ANN P. PUGLISE COTA

MEDICARE: JO ANN P. PUGLISE 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 AssistantOTA.Z20645LA

General Provider Information

NPI Number : 1588836399
Entity Type Code : Individual
Provider Name (Legal Business Name) : JO ANN P. PUGLISE COTA
Provider Business Mailing Address
First Line : 2724 VIRGINIA LEE DR
Second Line :
City : MARRERO
State : LA
Zip : 70072-6012
Country : US
Telephone Number : 504-494-8339
Fax Number :
Provider Business Practice Location Address
First Line : 4899 WESTBANK EXPY
Second Line : SUITE D
City : MARRERO
State : LA
Zip : 70072-3037
Country : US
Telephone Number : 504-494-8339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2008
Last Update Date : 04/01/2008

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