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NPI Code Detail

MEDICARE: MRS. KIMBERLY DAWN MEURET COTA

MEDICARE: MRS. KIMBERLY DAWN MEURET 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 Assistant

General Provider Information

NPI Number : 1063857720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY DAWN MEURET COTA
Provider Business Mailing Address
First Line : 2987 1/2 GLOBE WILLOW AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-8661
Country : US
Telephone Number : 970-270-4481
Fax Number : 970-549-4697
Provider Business Practice Location Address
First Line : 2425 TELLER AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5141
Country : US
Telephone Number : 970-243-3381
Fax Number : 970-549-4697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2013
Last Update Date : 05/07/2013

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Directions to “ MRS. KIMBERLY DAWN MEURET COTA” Practice Location

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