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NPI Code Detail

MEDICARE: KATHY JO CLINE COTA/L

MEDICARE: KATHY JO CLINE 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 Assistant211190TX

General Provider Information

NPI Number : 1619282134
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY JO CLINE COTA/L
Provider Business Mailing Address
First Line : 870 HAYES CIR
Second Line :
City : VIDOR
State : TX
Zip : 77662-8929
Country : US
Telephone Number : 409-291-6196
Fax Number :
Provider Business Practice Location Address
First Line : 7080 CALDER AVE
Second Line :
City : BEAUMONT
State : TX
Zip : 77706-6052
Country : US
Telephone Number : 409-861-1123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2010
Last Update Date : 02/27/2026

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Directions to “ KATHY JO CLINE COTA/L” Practice Location

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