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NPI Code Detail

MEDICARE: MRS. JODI L MARTIN COTA/L

MEDICARE: MRS. JODI L MARTIN 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 AssistantOP003473LPA

General Provider Information

NPI Number : 1275784209
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JODI L MARTIN COTA/L
Provider Business Mailing Address
First Line : 100 ABBEYVILLE RD
Second Line :
City : LANCASTER
State : PA
Zip : 17603-4604
Country : US
Telephone Number : 717-397-4261
Fax Number : 717-397-1420
Provider Business Practice Location Address
First Line : 100 ABBEYVILLE RD
Second Line :
City : LANCASTER
State : PA
Zip : 17603-4604
Country : US
Telephone Number : 717-397-4261
Fax Number : 717-397-1420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2008
Last Update Date : 10/08/2008

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