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NPI Code Detail

MEDICARE: LASHAUNDRIA HARRIS COTA

MEDICARE: LASHAUNDRIA HARRIS 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 Assistant431294TX

General Provider Information

NPI Number : 1033749197
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHAUNDRIA HARRIS COTA
Provider Business Mailing Address
First Line : 7722 WYNLEA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77061-2929
Country : US
Telephone Number : 832-641-6546
Fax Number :
Provider Business Practice Location Address
First Line : 1405 HOLLAND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77029-2845
Country : US
Telephone Number : 713-455-1744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2020
Last Update Date : 01/16/2020

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