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NPI Code Detail

MEDICARE: MICHELL MAUNG COTA

MEDICARE: MICHELL MAUNG 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 AssistantA02231MD

General Provider Information

NPI Number : 1477920346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELL MAUNG COTA
Provider Business Mailing Address
First Line : 8113 FALCON CREST DR.
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5017
Country : US
Telephone Number : 347-840-1444
Fax Number :
Provider Business Practice Location Address
First Line : 1221 WAUGH CHAPEL RD
Second Line :
City : GAMBRILLS
State : MD
Zip : 21054-1608
Country : US
Telephone Number : 410-923-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2015
Last Update Date : 08/27/2015

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