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NPI Code Detail

MEDICARE: MRS. NANCY MARIE SCHAD COTA

MEDICARE: MRS. NANCY MARIE SCHAD 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 Assistant46TA09048000NJ

General Provider Information

NPI Number : 1871004184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY MARIE SCHAD COTA
Provider Business Mailing Address
First Line : 360 E PLEASANT GROVE RD
Second Line :
City : JACKSON
State : NJ
Zip : 08527-4240
Country : US
Telephone Number : 732-833-9171
Fax Number :
Provider Business Practice Location Address
First Line : 75 OLD TOMS RIVER RD
Second Line :
City : BRICK
State : NJ
Zip : 08723-7800
Country : US
Telephone Number : 732-451-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2017
Last Update Date : 10/14/2017

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