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NPI Code Detail

MEDICARE: MS. TALSA KINDLE COTA

MEDICARE: MS. TALSA KINDLE 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 Assistant212109TX

General Provider Information

NPI Number : 1154801306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TALSA KINDLE COTA
Provider Business Mailing Address
First Line : 600 N PEARL ST STE 1050
Second Line :
City : DALLAS
State : TX
Zip : 75201-7495
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3730 W OREM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77045-4426
Country : US
Telephone Number : 832-799-6484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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