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NPI Code Detail

MEDICARE: EDITH TIONKO PLOTNER COTA

MEDICARE: EDITH TIONKO PLOTNER 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 284CA

General Provider Information

NPI Number : 1689836991
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDITH TIONKO PLOTNER COTA
Provider Business Mailing Address
First Line : 4413 SHENANGO WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-4059
Country : US
Telephone Number : 916-684-8928
Fax Number :
Provider Business Practice Location Address
First Line : 7801 RUSH RIVER DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95831-4602
Country : US
Telephone Number : 916-428-2213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 06/27/2008

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Directions to “ EDITH TIONKO PLOTNER COTA” Practice Location

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