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General NPI Number Information
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NPI Number | 1386568855
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Entity Type | Individual
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Provider Name | HEATHER GREUTMAN COTA/L
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 1324 MIDDLETOWN EATON RD
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City | MIDDLETOWN
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State | OH
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Zip | 45042-1525
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Country | US
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Telephone | 513-420-4750
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Fax |
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Provider Business Mailing Address
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Address Line | 5720 JACKSONBURG RD
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City | TRENTON
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State | OH
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Zip | 45067-9672
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Country | US
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Telephone | 513-668-7312
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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 | OTA003654
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License Number State | OH
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