MEDICARE: MICHAEL GERARD NOBLE COTA MLD

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
1	224Z00000X	Occupational Therapy Assistant	L1358322	MI

General Provider Information

NPI Number	:	1275778102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL GERARD NOBLE COTA MLD

Provider Business Mailing Address
First Line	:	4013 GRATIOT AVE
Second Line	:
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059-3919
Country	:	US
Telephone Number	:	810-385-3026
Fax Number	:	810-385-3026

Provider Business Practice Location Address
First Line	:	4013 GRATIOT AVE
Second Line	:
City	:	FORT GRATIOT
State	:	MI
Zip	:	48059-3919
Country	:	US
Telephone Number	:	810-385-3026
Fax Number	:	810-385-3026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2008
Last Update Date	:	01/27/2009

Similar Medicare Providers

1154280741 — JANY PEREZ PEDRAZA ARNP
Practice Location Address:

3919 W JEFFERSON BLVD STE 2
FORT WAYNE, IN
46804-6811

Practice Phone: 260-436-7722
Practice Fax: 260-459-0012

1811958077 — DR. P. LINDEN DILLIN M.D.
Practice Location Address:

900 12TH AVE
FORT WORTH, TX
76104-3919

Practice Phone: 817-335-3668
Practice Fax: 817-335-5304

1720192982 — DR. JOHN MICHAEL SCOTT D.C.
Practice Location Address:

2603 S CHERRY LN
FORT WORTH, TX
76116-3919

Practice Phone: 817-560-1625
Practice Fax: 817-560-1627

1154421303 — GIRIDHAR RAO VEERULA
Practice Location Address:

3919 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6811

Practice Phone: 260-436-7722
Practice Fax: 260-459-0012

1679664379 — MRS. REBECCA MARIE BLUME PA-C
Practice Location Address:

3919 W JEFFERSON BLVD STE 25A
FORT WAYNE, IN
46804-6811

Practice Phone: 260-436-7722
Practice Fax: 260-459-0012

1265519185 — PEDSTAT
Practice Location Address:

3919 W JEFFERSON BLVD , SUITE 2
FORT WAYNE, IN
46804-6811

Practice Phone: 260-436-7722
Practice Fax: 260-459-0012

Directions to “ MICHAEL GERARD NOBLE COTA MLD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.