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NPI Code Detail

MEDICARE: SHERRIE CRAVEN COTA

MEDICARE: SHERRIE CRAVEN 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 Assistant46TA09012800NJ

General Provider Information

NPI Number : 1104033141
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE CRAVEN COTA
Provider Business Mailing Address
First Line : 453 SIERRA VISTA LN
Second Line :
City : VALLEY COTTAGE
State : NY
Zip : 10989-2708
Country : US
Telephone Number : 845-353-7506
Fax Number :
Provider Business Practice Location Address
First Line : 221 COUNTY RD
Second Line :
City : CRESSKILL
State : NJ
Zip : 07626-1605
Country : US
Telephone Number : 201-567-9310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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Directions to “ SHERRIE CRAVEN COTA” Practice Location

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