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General NPI Number Information
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NPI Number | 1144142910
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Entity Type | Individual
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Provider Name | ABBY N BRISTLIN COTA
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 2321 STOUT RD
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City | MENOMONIE
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State | WI
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Zip | 54751-7003
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Country | US
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Telephone | 715-235-5531
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Fax |
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Provider Business Mailing Address
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Address Line | 161 7TH ST
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City | PRAIRIE FARM
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State | WI
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Zip | 54762-9421
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Country | US
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Telephone | 952-412-2200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State | WI
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