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NPI Code Detail

MEDICARE: MRS. JESSICA LYNN FOSTER COTA

MEDICARE: MRS. JESSICA LYNN FOSTER 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 Assistant209169TX

General Provider Information

NPI Number : 1073093829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA LYNN FOSTER COTA
Provider Business Mailing Address
First Line : 4201 CREEK HILL LN
Second Line :
City : CORINTH
State : TX
Zip : 76208-5191
Country : US
Telephone Number : 817-658-9868
Fax Number :
Provider Business Practice Location Address
First Line : 2244 BRINKER RD
Second Line :
City : DENTON
State : TX
Zip : 76208-6120
Country : US
Telephone Number : 940-380-9610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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