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NPI Code Detail

MEDICARE: PATRICIA LANDIS COTA

MEDICARE:   PATRICIA  LANDIS  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 Assistant

General Provider Information

NPI Number : 1972710952
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA LANDIS COTA
Provider Business Mailing Address
First Line : 59 E WEAVER AVE
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-3047
Country : US
Telephone Number : 540-434-6354
Fax Number :
Provider Business Practice Location Address
First Line : 315 E LEE HWY
Second Line :
City : NEW MARKET
State : VA
Zip : 22844-3103
Country : US
Telephone Number : 540-740-8041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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Directions to “ PATRICIA LANDIS COTA” Practice Location

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