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NPI Code Detail

MEDICARE: RACHEL ANNE MILLER COTAL

MEDICARE: RACHEL ANNE MILLER 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 Assistant5202008632MI

General Provider Information

NPI Number : 1942809744
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ANNE MILLER COTAL
Provider Business Mailing Address
First Line : PO BOX 61
Second Line :
City : FOWLER
State : MI
Zip : 48835-0061
Country : US
Telephone Number : 989-292-1491
Fax Number :
Provider Business Practice Location Address
First Line : 3700 DEARING RD
Second Line :
City : SPRING ARBOR
State : MI
Zip : 49283-9798
Country : US
Telephone Number : 517-750-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2020
Last Update Date : 10/22/2020

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Directions to “ RACHEL ANNE MILLER COTAL” Practice Location

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