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NPI Code Detail

MEDICARE: PATRICIA A MOHNEY COTA/L

MEDICARE: PATRICIA A MOHNEY 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 AssistantOTA16394FL

General Provider Information

NPI Number : 1417429119
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A MOHNEY COTA/L
Provider Business Mailing Address
First Line : 7002 SCARBORO DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-6958
Country : US
Telephone Number : 330-501-9789
Fax Number :
Provider Business Practice Location Address
First Line : 3250 WINKLER AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-9414
Country : US
Telephone Number : 239-939-4993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 12/19/2018

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