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NPI Code Detail

MEDICARE: MS. JENNIFER ANNE PORTER COTA

MEDICARE: MS. JENNIFER ANNE PORTER 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 AssistantU2-0000573DE

General Provider Information

NPI Number : 1881633097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER ANNE PORTER COTA
Provider Business Mailing Address
First Line : 80 TIVERTON CIR
Second Line :
City : NEWARK
State : DE
Zip : 19702-1445
Country : US
Telephone Number : 302-453-4408
Fax Number :
Provider Business Practice Location Address
First Line : 4709 KIRKWOOD HWY
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-5007
Country : US
Telephone Number : 302-998-9880
Fax Number : 302-998-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JENNIFER ANNE PORTER COTA” Practice Location

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