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NPI Code Detail

MEDICARE: ABIGAIL ELIZABETH NEPEAN COTA/L

MEDICARE: ABIGAIL ELIZABETH NEPEAN 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 Assistant2020012189MO

General Provider Information

NPI Number : 1407638000
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL ELIZABETH NEPEAN COTA/L
Provider Business Mailing Address
First Line : 1995 W OLD PLANK VILLAGE DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-9078
Country : US
Telephone Number : 573-625-8160
Fax Number :
Provider Business Practice Location Address
First Line : 3600 COUNTRY CLUB DR STE 530
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65109-1503
Country : US
Telephone Number : 573-681-0447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2023
Last Update Date : 10/18/2023

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Directions to “ ABIGAIL ELIZABETH NEPEAN COTA/L” Practice Location

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