MEDICARE: OLIVIA DEDERING 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
1	224Z00000X	Occupational Therapy Assistant	5368	WI

General Provider Information

NPI Number	:	1942714761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA DEDERING COTA

Provider Business Mailing Address
First Line	:	19395 W CAPITOL DR STE 200
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-2736
Country	:	US
Telephone Number	:	262-923-7101
Fax Number	:	262-923-7178

Provider Business Practice Location Address
First Line	:	1 HAMILTON DR
Second Line	:
City	:	TWO RIVERS
State	:	WI
Zip	:	54241-2335
Country	:	US
Telephone Number	:	920-794-6936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2017
Last Update Date	:	12/01/2017

Similar Medicare Providers

1922091149 — HAMILTON CARE CENTER, LLC
Practice Location Address:

1 HAMILTON DR
TWO RIVERS, WI
54241-2335

Practice Phone: 920-793-2261
Practice Fax: 920-794-5934

1124661079 — NSH TWO RIVERS LLC
Practice Location Address:

1 HAMILTON DR
TWO RIVERS, WI
54241-2335

Practice Phone: 920-793-2261
Practice Fax:

1568838951 — KATHLEEN MARIE BOETTCHER
Practice Location Address:

5300 MEMORIAL DR
TWO RIVERS, WI
54241-3923

Practice Phone: 920-793-7337
Practice Fax: 920-793-6589

1477558724 — GREGORY L WOODFILL DO
Practice Location Address:

5300 MEMORIAL DR
TWO RIVERS, WI
54241-3923

Practice Phone: 920-793-7300
Practice Fax: 920-793-7391

1689675845 — MR. JOHN PAUL HAMILTON RN, CRNA
Practice Location Address:

5000 MEMORIAL DR
TWO RIVERS, WI
54241-3900

Practice Phone: 920-794-5000
Practice Fax:

1295729366 — DR. ROBERT A GAHL M.D.
Practice Location Address:

1516 WASHINGTON ST
TWO RIVERS, WI
54241-3045

Practice Phone: 920-793-4573
Practice Fax: 920-793-4575

Directions to “ OLIVIA DEDERING COTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.