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NPI Code Detail

MEDICARE: VAL-MONIQUE FLOURNOY COTA

MEDICARE:   VAL-MONIQUE  FLOURNOY  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 Assistant215180TX

General Provider Information

NPI Number : 1154815694
Entity Type Code : Individual
Provider Name (Legal Business Name) : VAL-MONIQUE FLOURNOY COTA
Provider Business Mailing Address
First Line : 2115 RUNNELS ST APT 2207
Second Line :
City : HOUSTON
State : TX
Zip : 77003-1080
Country : US
Telephone Number : 281-408-9051
Fax Number :
Provider Business Practice Location Address
First Line : 12570 CLAY RD
Second Line :
City : HOUSTON
State : TX
Zip : 77041-5593
Country : US
Telephone Number : 281-408-9051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 06/19/2018

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Directions to “ VAL-MONIQUE FLOURNOY COTA” Practice Location

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