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NPI Code Detail

MEDICARE: DEBRA JO HANE COTA

MEDICARE: DEBRA JO HANE 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
1225X00000XOccupational Therapist339MT

General Provider Information

NPI Number : 1063668390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA JO HANE COTA
Provider Business Mailing Address
First Line : 2621 15TH AVE S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5201
Country : US
Telephone Number : 406-455-5914
Fax Number : 406-455-5947
Provider Business Practice Location Address
First Line : 2621 15TH AVE S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5201
Country : US
Telephone Number : 406-455-5914
Fax Number : 406-455-5947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2008
Last Update Date : 08/18/2008

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Directions to “ DEBRA JO HANE COTA” Practice Location

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