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NPI Code Detail

MEDICARE: MRS. DONNA R PATTERSON HAWKINS COTA

MEDICARE:  MRS. DONNA R PATTERSON HAWKINS  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
1225X00000XOccupational Therapist1018520MI

General Provider Information

NPI Number : 1396941811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA R PATTERSON HAWKINS COTA
Provider Business Mailing Address
First Line : 960 AGARD AVE
Second Line : 116
City : BENTON HARBOR
State : MI
Zip : 49022-4051
Country : US
Telephone Number : 269-927-3011
Fax Number : 269-927-3012
Provider Business Practice Location Address
First Line : 960 AGARD AVE
Second Line : 116
City : BENTON HARBOR
State : MI
Zip : 49022-4051
Country : US
Telephone Number : 269-927-3011
Fax Number : 269-927-3012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 05/21/2008

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Directions to “ MRS. DONNA R PATTERSON HAWKINS COTA” Practice Location

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