MEDICARE: CHER ANN HAKIN 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	002778	OH

General Provider Information

NPI Number	:	1467179606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHER ANN HAKIN COTA

Provider Business Mailing Address
First Line	:	2444 EDGEWATER DR
Second Line	:	YOUNGSTOWN
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44514
Country	:	US
Telephone Number	:	330-883-6617
Fax Number	:

Provider Business Practice Location Address
First Line	:	2444 EDGEWATER DR
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44514-1724
Country	:	US
Telephone Number	:	330-883-6617
Fax Number	:

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

Provider Enumeration Date	:	10/27/2022
Last Update Date	:	10/27/2022

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