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NPI Code Detail

MEDICARE: CHRISTINA CUELLAR COTA

MEDICARE: CHRISTINA CUELLAR 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 Assistant214768TX

General Provider Information

NPI Number : 1053894303
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA CUELLAR COTA
Provider Business Mailing Address
First Line : 11435 DEVENCREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77066-5143
Country : US
Telephone Number : 832-207-1047
Fax Number :
Provider Business Practice Location Address
First Line : 1341 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6427
Country : US
Telephone Number : 713-468-7821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 09/12/2018

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Directions to “ CHRISTINA CUELLAR COTA” Practice Location

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