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NPI Code Detail

MEDICARE: MRS. ALYSIA CHAMBERS COTA

MEDICARE:  MRS. ALYSIA  CHAMBERS  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 AssistantU20000375DE

General Provider Information

NPI Number : 1285759084
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALYSIA CHAMBERS COTA
Provider Business Mailing Address
First Line : 20889 BULL PINE RD
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-4706
Country : US
Telephone Number : 302-856-7752
Fax Number :
Provider Business Practice Location Address
First Line : 1001 MIDDLEFORD RD
Second Line :
City : SEAFORD
State : DE
Zip : 19973-3638
Country : US
Telephone Number : 302-628-5608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ALYSIA CHAMBERS COTA” Practice Location

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