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NPI Code Detail

MEDICARE: ROBYN BRAILEY COTA

MEDICARE: ROBYN BRAILEY 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 Assistant32001822AIN

General Provider Information

NPI Number : 1457650012
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN BRAILEY COTA
Provider Business Mailing Address
First Line : 1397 WATERTREE RD
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47803-7711
Country : US
Telephone Number : 812-877-2519
Fax Number :
Provider Business Practice Location Address
First Line : 3461 SAINT MARYS RD
Second Line :
City : WEST TERRE HAUTE
State : IN
Zip : 47885-9683
Country : US
Telephone Number : 812-917-5618
Fax Number : 812-917-5618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2011
Last Update Date : 03/22/2011

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Directions to “ ROBYN BRAILEY COTA” Practice Location

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