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NPI Code Detail

MEDICARE: MR. MICHAEL NEIL HAYES COTA

MEDICARE:  MR. MICHAEL NEIL HAYES  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 Assistant1017102VA
2224Z00000XOccupational Therapy AssistantVA

General Provider Information

NPI Number : 1093849911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL NEIL HAYES COTA
Provider Business Mailing Address
First Line : 5704 LANCELOT DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-2253
Country : US
Telephone Number : 757-523-2982
Fax Number :
Provider Business Practice Location Address
First Line : 5704 LANCELOT DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-2253
Country : US
Telephone Number : 757-523-2982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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Directions to “ MR. MICHAEL NEIL HAYES COTA” Practice Location

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