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NPI Code Detail

MEDICARE: MISS SARAH ANN CLUNIE COTA/L

MEDICARE: MISS SARAH ANN CLUNIE 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
1224Z00000XOccupational Therapy AssistantA4387KY

General Provider Information

NPI Number : 1467783373
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SARAH ANN CLUNIE COTA/L
Provider Business Mailing Address
First Line : 4043 WEBER LN
Second Line :
City : FLOYDS KNOBS
State : IN
Zip : 47119-9306
Country : US
Telephone Number : 502-821-0307
Fax Number :
Provider Business Practice Location Address
First Line : 6301 BASS RD
Second Line :
City : PROSPECT
State : KY
Zip : 40059-9384
Country : US
Telephone Number : 502-228-8359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2010
Last Update Date : 01/18/2010

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Directions to “ MISS SARAH ANN CLUNIE COTA/L” Practice Location

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