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NPI Code Detail

MEDICARE: MISS SADIE JO PERRY COTA/L

MEDICARE: MISS SADIE JO PERRY 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 Assistant216330TX

General Provider Information

NPI Number : 1407445612
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SADIE JO PERRY COTA/L
Provider Business Mailing Address
First Line : 5220 SPRING VALLEY RD STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75254-2512
Country : US
Telephone Number : 214-466-1340
Fax Number : 214-466-1378
Provider Business Practice Location Address
First Line : 5220 SPRING VALLEY RD STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75254-2512
Country : US
Telephone Number : 214-466-1340
Fax Number : 214-466-1378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2021
Last Update Date : 01/12/2021

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Directions to “ MISS SADIE JO PERRY COTA/L” Practice Location

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