MEDICARE: JENNIFER MEGAN HIER 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
1	224Z00000X	Occupational Therapy Assistant	2915	CA

General Provider Information

NPI Number	:	1306234745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MEGAN HIER COTA

Provider Business Mailing Address
First Line	:	5137 TEMPLETON ST APT 7
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90032-2269
Country	:	US
Telephone Number	:	909-763-9521
Fax Number	:

Provider Business Practice Location Address
First Line	:	5137 TEMPLETON ST APT 7
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90032-2269
Country	:	US
Telephone Number	:	909-763-9521
Fax Number	:

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

Provider Enumeration Date	:	01/08/2015
Last Update Date	:	01/08/2015

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Directions to “ JENNIFER MEGAN HIER COTA” Practice Location

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