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NPI Code Detail

MEDICARE: CINDY SIMMONS COTAL

MEDICARE: CINDY SIMMONS COTAL
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 Assistant5811NC

General Provider Information

NPI Number : 1043365570
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY SIMMONS COTAL
Provider Business Mailing Address
First Line : 5725 CAROLINA BEACH RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2611
Country : US
Telephone Number : 910-297-9029
Fax Number :
Provider Business Practice Location Address
First Line : 5725 CAROLINA BEACH RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2611
Country : US
Telephone Number : 910-792-1455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 12/11/2020

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Directions to “ CINDY SIMMONS COTAL” Practice Location

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