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NPI Code Detail

MEDICARE: MRS. HANNAH MARIE JOHNSON COTA/L

MEDICARE: MRS. HANNAH MARIE JOHNSON 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 AssistantOTA007437OH

General Provider Information

NPI Number : 1275095903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HANNAH MARIE JOHNSON COTA/L
Provider Business Mailing Address
First Line : 5131 DEPOT RD
Second Line :
City : NEW TRENTON
State : IN
Zip : 47035-5109
Country : US
Telephone Number : 513-478-6010
Fax Number :
Provider Business Practice Location Address
First Line : 779 GLENDALE MILFORD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1161
Country : US
Telephone Number : 513-771-1779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 04/02/2019

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