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NPI Code Detail

MEDICARE: SHAUNA HALL COTA/L

MEDICARE: SHAUNA HALL 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 Assistant1071OK

General Provider Information

NPI Number : 1164789194
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUNA HALL COTA/L
Provider Business Mailing Address
First Line : 6400 N SANTA FE, STE B
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-7601
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6400 N SANTA FE, STE B
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-7601
Country : US
Telephone Number : 405-840-2903
Fax Number : 405-840-3256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2012
Last Update Date : 04/16/2012

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Directions to “ SHAUNA HALL COTA/L” Practice Location

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