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NPI Code Detail

MEDICARE: JOEL D THOMAS COTA

MEDICARE: JOEL D THOMAS 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 Assistant1800627KS

General Provider Information

NPI Number : 1396913448
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL D THOMAS COTA
Provider Business Mailing Address
First Line : 2222 SULLIVAN TRL
Second Line :
City : EASTON
State : PA
Zip : 18040-7958
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 445 N WESTVIEW DR
Second Line :
City : DERBY
State : KS
Zip : 67037-2228
Country : US
Telephone Number : 316-788-3739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2008
Last Update Date : 02/12/2008

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