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NPI Code Detail

MEDICARE: DANIELLE GRABOW COTA

MEDICARE: DANIELLE GRABOW 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 Assistant32003676AIN

General Provider Information

NPI Number : 1407707250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE GRABOW COTA
Provider Business Mailing Address
First Line : 17807 SANIBEL CIR
Second Line :
City : WESTFIELD
State : IN
Zip : 46062-7687
Country : US
Telephone Number : 847-525-1494
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-338-2269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ DANIELLE GRABOW COTA” Practice Location

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