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NPI Code Detail

MEDICARE: MR. RANDY SCOTT TREECE COTA

MEDICARE:  MR. RANDY SCOTT TREECE  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
1225X00000XOccupational Therapist209635TX

General Provider Information

NPI Number : 1659518488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RANDY SCOTT TREECE COTA
Provider Business Mailing Address
First Line : 3219 LAUREL FORK DR.
Second Line :
City : KINGWOOD
State : TX
Zip : 77339
Country : US
Telephone Number : 281-883-8787
Fax Number :
Provider Business Practice Location Address
First Line : 4225 DENMARK ST
Second Line :
City : HOUSTON
State : TX
Zip : 77016
Country : US
Telephone Number : 713-631-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2009
Last Update Date : 01/15/2009

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Directions to “ MR. RANDY SCOTT TREECE COTA” Practice Location

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