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NPI Code Detail

MEDICARE: MS. AMY NICOLE KNIGHT COTA/L

MEDICARE: MS. AMY NICOLE KNIGHT 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
1390200000XStudent in an Organized Health Care Education/Training Program
2224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1447658463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY NICOLE KNIGHT COTA/L
Provider Business Mailing Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-808-9912
Fax Number :
Provider Business Practice Location Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-808-9912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2014
Last Update Date : 10/07/2024

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