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NPI Code Detail

MEDICARE: MR. COREY HUSKINS COTAL

MEDICARE:  MR. COREY  HUSKINS  COTAL
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 AssistantL01589MD

General Provider Information

NPI Number : 1902924947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. COREY HUSKINS COTAL
Provider Business Mailing Address
First Line : 3109 MORELAND AVE
Second Line :
City : PARKVILLE
State : MD
Zip : 21234-4115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7700 YORK RD
Second Line :
City : TOWSON
State : MD
Zip : 21204-7513
Country : US
Telephone Number : 410-821-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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Directions to “ MR. COREY HUSKINS COTAL” Practice Location

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