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NPI Code Detail

MEDICARE: MS. JESSICA BRIGGS COTA/L

MEDICARE:  MS. JESSICA  BRIGGS  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 Assistant009263NY

General Provider Information

NPI Number : 1659896645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA BRIGGS COTA/L
Provider Business Mailing Address
First Line : 71 DUDLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-4003
Country : US
Telephone Number : 347-733-8213
Fax Number :
Provider Business Practice Location Address
First Line : 71 DUDLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-4003
Country : US
Telephone Number : 347-733-8213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2017
Last Update Date : 07/21/2022

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Directions to “ MS. JESSICA BRIGGS COTA/L” Practice Location

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