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NPI Code Detail

MEDICARE: MARY DYNIS COTA

MEDICARE: MARY DYNIS 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
1224Z00000XOccupational Therapy AssistantOTA-2805NV

General Provider Information

NPI Number : 1669162228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY DYNIS COTA
Provider Business Mailing Address
First Line : 9050 W TROPICANA AVE UNIT 1134
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8189
Country : US
Telephone Number : 792-612-1535
Fax Number :
Provider Business Practice Location Address
First Line : 9079 W POST RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2414
Country : US
Telephone Number : 702-612-1535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 10/09/2025

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Directions to “ MARY DYNIS COTA” Practice Location

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