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NPI Code Detail

MEDICARE: BEVERLY MILLER COTA

MEDICARE: BEVERLY MILLER 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 Assistant10427NC
2224Z00000XOccupational Therapy AssistantOTA 13309FL

General Provider Information

NPI Number : 1366995920
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY MILLER COTA
Provider Business Mailing Address
First Line : 94 MAY APPLE DR
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-4574
Country : US
Telephone Number : 386-785-5144
Fax Number :
Provider Business Practice Location Address
First Line : 100 SILVER BLUFF DR
Second Line :
City : CANTON
State : NC
Zip : 28716-6350
Country : US
Telephone Number : 971-206-5140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2016
Last Update Date : 08/01/2016

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Directions to “ BEVERLY MILLER COTA” Practice Location

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