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NPI Code Detail

MEDICARE: MRS. CATHERINE BURCHAM COTA

MEDICARE: MRS. CATHERINE BURCHAM 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 Assistant03-189454CT

General Provider Information

NPI Number : 1003936667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE BURCHAM COTA
Provider Business Mailing Address
First Line : 2409 CULPEPER RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22308-2132
Country : US
Telephone Number : 703-799-7459
Fax Number :
Provider Business Practice Location Address
First Line : 7116 FORT HUNT RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22307-1900
Country : US
Telephone Number : 703-780-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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