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NPI Code Detail

MEDICARE: DEBORAH ST. GERMAIN COTA/L

MEDICARE: DEBORAH ST. GERMAIN 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 AssistantOC60055874WA

General Provider Information

NPI Number : 1598188518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ST. GERMAIN COTA/L
Provider Business Mailing Address
First Line : 1804 S 285TH PL APT A
Second Line :
City : FEDERAL WAY
State : WA
Zip : 98003-3092
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S 224TH ST
Second Line :
City : DES MOINES
State : WA
Zip : 98198-5132
Country : US
Telephone Number : 206-824-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2014
Last Update Date : 01/27/2014

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Directions to “ DEBORAH ST. GERMAIN COTA/L” Practice Location

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