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NPI Code Detail

MEDICARE: NATALEE JACQUELINE ARREDONDO COTA

MEDICARE: NATALEE JACQUELINE ARREDONDO 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 Assistant215651TX

General Provider Information

NPI Number : 1851959779
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALEE JACQUELINE ARREDONDO COTA
Provider Business Mailing Address
First Line : 8820 SHALOM CIR
Second Line :
City : LAREDO
State : TX
Zip : 78045-6258
Country : US
Telephone Number : 956-726-3853
Fax Number :
Provider Business Practice Location Address
First Line : 2550 ZACATECAS DR
Second Line :
City : EAGLE PASS
State : TX
Zip : 78852-4129
Country : US
Telephone Number : 830-773-4488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2019
Last Update Date : 06/05/2019

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