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NPI Code Detail

MEDICARE: MR. TROY ORR BRENNEMAN COTA

MEDICARE:  MR. TROY ORR BRENNEMAN  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 AssistantOP002280LPA

General Provider Information

NPI Number : 1902000268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TROY ORR BRENNEMAN COTA
Provider Business Mailing Address
First Line : 104 EAKIN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15214-1314
Country : US
Telephone Number : 412-939-0353
Fax Number :
Provider Business Practice Location Address
First Line : 200 NORTHPOINTE CIR STE 302
Second Line :
City : SEVEN FIELDS
State : PA
Zip : 16046-7861
Country : US
Telephone Number : 800-815-8577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 07/08/2007

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Directions to “ MR. TROY ORR BRENNEMAN COTA” Practice Location

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