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NPI Code Detail

MEDICARE: DELLA HOKETT COTA/L

MEDICARE: DELLA HOKETT COTA/L
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 Assistant213271TX

General Provider Information

NPI Number : 1023598117
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELLA HOKETT COTA/L
Provider Business Mailing Address
First Line : PO BOX 26
Second Line :
City : HIGH ISLAND
State : TX
Zip : 77623-0026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8595 MEDICAL CENTER BLVD
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2428
Country : US
Telephone Number : 409-673-4079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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Directions to “ DELLA HOKETT COTA/L” Practice Location

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