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NPI Code Detail

MEDICARE: RYAN BORINAGA COTA

MEDICARE: RYAN BORINAGA 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 Assistant215471TX

General Provider Information

NPI Number : 1396211827
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN BORINAGA COTA
Provider Business Mailing Address
First Line : 1402 KERN CANYON LN
Second Line :
City : RICHMOND
State : TX
Zip : 77469-2270
Country : US
Telephone Number : 832-427-7363
Fax Number :
Provider Business Practice Location Address
First Line : 1402 KERN CANYON LN
Second Line :
City : RICHMOND
State : TX
Zip : 77469-2270
Country : US
Telephone Number : 832-427-7363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2018
Last Update Date : 10/23/2018

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Directions to “ RYAN BORINAGA COTA” Practice Location

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