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NPI Code Detail

MEDICARE: MEGAN CHRISTINA YOUNG COTA

MEDICARE:   MEGAN CHRISTINA YOUNG  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 Assistant5202007787MI

General Provider Information

NPI Number : 1710619168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN CHRISTINA YOUNG COTA
Provider Business Mailing Address
First Line : 1831 DOROTHY CIR LOT 82
Second Line :
City : ESSEXVILLE
State : MI
Zip : 48732-9418
Country : US
Telephone Number : 989-280-0851
Fax Number :
Provider Business Practice Location Address
First Line : 568 N PINE RD
Second Line :
City : BAY CITY
State : MI
Zip : 48708-9190
Country : US
Telephone Number : 989-778-1713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2022
Last Update Date : 06/25/2022

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Directions to “ MEGAN CHRISTINA YOUNG COTA” Practice Location

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