MEDICARE: MARGARET A. SCHULZ 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	OT-A196	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	907075073	OTHER	AR	DRIVERS LICENSE

General Provider Information

NPI Number	:	1447483938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET A. SCHULZ COTA

Provider Business Mailing Address
First Line	:	311 N WOODROW ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-4345
Country	:	US
Telephone Number	:	501-425-7812
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 N WOODROW ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-4345
Country	:	US
Telephone Number	:	501-425-7812
Fax Number	:

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

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	08/31/2009

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