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NPI Code Detail

MEDICARE: BRIANNA SAWYER COTA/L

MEDICARE: BRIANNA SAWYER COTA/L
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 AssistantA02780MD

General Provider Information

NPI Number : 1407408818
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA SAWYER COTA/L
Provider Business Mailing Address
First Line : 6062 HANOVER RD
Second Line :
City : HANOVER
State : MD
Zip : 21076-1036
Country : US
Telephone Number : 443-864-0225
Fax Number :
Provider Business Practice Location Address
First Line : 12520 PROSPERITY DR STE 220
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1660
Country : US
Telephone Number : 301-869-7505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2019
Last Update Date : 07/16/2024

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