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NPI Code Detail

MEDICARE: CEARA ROSE EDWARDS COTA

MEDICARE: CEARA ROSE EDWARDS 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 Assistant214875TX

General Provider Information

NPI Number : 1013496686
Entity Type Code : Individual
Provider Name (Legal Business Name) : CEARA ROSE EDWARDS COTA
Provider Business Mailing Address
First Line : 1114 CAMINO LA COSTA APT 2004
Second Line :
City : AUSTIN
State : TX
Zip : 78752-3950
Country : US
Telephone Number : 956-346-3310
Fax Number :
Provider Business Practice Location Address
First Line : 1373 N AVENUE C
Second Line :
City : ELGIN
State : TX
Zip : 78621-1528
Country : US
Telephone Number : 512-285-2459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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Directions to “ CEARA ROSE EDWARDS COTA” Practice Location

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