MEDICARE: MRS. JULIE ANN SCOTT 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
1	224Z00000X	Occupational Therapy Assistant	905569	MI

General Provider Information

NPI Number	:	1437297231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE ANN SCOTT COTA

Provider Business Mailing Address
First Line	:	7003 PAWNEE TRL
Second Line	:
City	:	ROGERS CITY
State	:	MI
Zip	:	49779-9557
Country	:	US
Telephone Number	:	989-734-4254
Fax Number	:	989-734-8914

Provider Business Practice Location Address
First Line	:	7003 PAWNEE TRL
Second Line	:
City	:	ROGERS CITY
State	:	MI
Zip	:	49779-9557
Country	:	US
Telephone Number	:	989-734-4254
Fax Number	:	989-734-8914

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/08/2007

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