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NPI Code Detail

MEDICARE: VONDA NORRIS COTA

MEDICARE: VONDA NORRIS 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 Assistant171084KY
2224Z00000XOccupational Therapy AssistantOTA006756OH

General Provider Information

NPI Number : 1457894040
Entity Type Code : Individual
Provider Name (Legal Business Name) : VONDA NORRIS COTA
Provider Business Mailing Address
First Line : 1626 FOREST HILL RD
Second Line :
City : BROOKSVILLE
State : KY
Zip : 41004-7605
Country : US
Telephone Number : 859-462-7220
Fax Number :
Provider Business Practice Location Address
First Line : 11230 PIPPIN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-1202
Country : US
Telephone Number : 513-851-0601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 11/30/2016

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Directions to “ VONDA NORRIS COTA” Practice Location

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