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NPI Code Detail

MEDICARE: KATILIN ERDMANN COTA

MEDICARE: KATILIN ERDMANN 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 Assistant5171WI

General Provider Information

NPI Number : 1982132759
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATILIN ERDMANN COTA
Provider Business Mailing Address
First Line : 1702 S RIVER RD
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-5648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1702 S RIVER RD
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-5648
Country : US
Telephone Number : 608-373-6322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2017
Last Update Date : 05/24/2017

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Directions to “ KATILIN ERDMANN COTA” Practice Location

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