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NPI Code Detail

MEDICARE: STEPHANIE KLEIN COTA/L

MEDICARE: STEPHANIE KLEIN COTA/L
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 AssistantOP006792PA
2224Z00000XOccupational Therapy Assistant32002555AIN

General Provider Information

NPI Number : 1114253424
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE KLEIN COTA/L
Provider Business Mailing Address
First Line : 6104 PRAIRIE STREAM WAY
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-9047
Country : US
Telephone Number : 717-203-2136
Fax Number :
Provider Business Practice Location Address
First Line : 303 N HURSTBOURNE PKWY STE 200
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-5158
Country : US
Telephone Number : 502-412-5847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2009
Last Update Date : 02/27/2014

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Directions to “ STEPHANIE KLEIN COTA/L” Practice Location

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