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NPI Code Detail

MEDICARE: MRS. MARTHA JANE MANN COTA

MEDICARE: MRS. MARTHA JANE MANN 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 Assistant200981TX

General Provider Information

NPI Number : 1134601701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARTHA JANE MANN COTA
Provider Business Mailing Address
First Line : 1455 LOUISIANA AVE APT 8103
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-5963
Country : US
Telephone Number : 361-571-1223
Fax Number :
Provider Business Practice Location Address
First Line : 1720 N LOGAN ST
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-4931
Country : US
Telephone Number : 361-571-1223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2018
Last Update Date : 08/30/2018

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Directions to “ MRS. MARTHA JANE MANN COTA” Practice Location

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