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NPI Code Detail

MEDICARE: ERIN ELIZABETH HECKMAN COTA

MEDICARE:   ERIN ELIZABETH HECKMAN  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 Assistant32001697AIN

General Provider Information

NPI Number : 1386973006
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ELIZABETH HECKMAN COTA
Provider Business Mailing Address
First Line : 7531 GLENOAK PKWY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-6528
Country : US
Telephone Number : 260-348-9204
Fax Number :
Provider Business Practice Location Address
First Line : 2940 N CLINTON ST
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-1910
Country : US
Telephone Number : 260-484-0602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2009
Last Update Date : 12/08/2009

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Directions to “ ERIN ELIZABETH HECKMAN COTA” Practice Location

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