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NPI Code Detail

MEDICARE: CHELSEA OCHOA COTA

MEDICARE: CHELSEA OCHOA 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 Assistant

General Provider Information

NPI Number : 1235844416
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA OCHOA COTA
Provider Business Mailing Address
First Line : 911 CHARLTON LN
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-4050
Country : US
Telephone Number : 336-239-2327
Fax Number :
Provider Business Practice Location Address
First Line : 1901 SILVER GLEN RD
Second Line :
City : SOUTH ELGIN
State : IL
Zip : 60177-3351
Country : US
Telephone Number : 224-276-2055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2023
Last Update Date : 01/20/2023

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