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NPI Code Detail

MEDICARE: CLAIRE NEWHOUSE COTA/L

MEDICARE: CLAIRE NEWHOUSE 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 Assistant

General Provider Information

NPI Number : 1619803780
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE NEWHOUSE COTA/L
Provider Business Mailing Address
First Line : 1394 JACKSON ST STE 201
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-4630
Country : US
Telephone Number : 651-603-8774
Fax Number :
Provider Business Practice Location Address
First Line : 1394 JACKSON ST STE 201
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-4630
Country : US
Telephone Number : 651-603-8774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ CLAIRE NEWHOUSE COTA/L” Practice Location

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