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NPI Code Detail

MEDICARE: MRS. LORETTA JEAN FOSTER COTA

MEDICARE: MRS. LORETTA JEAN FOSTER 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 AssistantA00275MD

General Provider Information

NPI Number : 1487865424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORETTA JEAN FOSTER COTA
Provider Business Mailing Address
First Line : 9413 FAREWELL RD
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-4441
Country : US
Telephone Number : 410-730-9108
Fax Number :
Provider Business Practice Location Address
First Line : 12020 REISTERSTOWN RD
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-3041
Country : US
Telephone Number : 410-833-3801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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