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NPI Code Detail

MEDICARE: TINA JANICEK COTA

MEDICARE: TINA JANICEK 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 Assistant211345TX

General Provider Information

NPI Number : 1801393079
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA JANICEK COTA
Provider Business Mailing Address
First Line : 25018 OAKHURST DR
Second Line :
City : SPRING
State : TX
Zip : 77386-2722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25018 OAKHURST DR
Second Line :
City : SPRING
State : TX
Zip : 77386-2722
Country : US
Telephone Number : 281-364-9695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2018
Last Update Date : 04/12/2018

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Directions to “ TINA JANICEK COTA” Practice Location

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