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NPI Code Detail

MEDICARE: SANDRA M LITERA COTA/L

MEDICARE: SANDRA M LITERA 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 Assistant057.001221IL

General Provider Information

NPI Number : 1497079925
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA M LITERA COTA/L
Provider Business Mailing Address
First Line : 1551 HUNTINGTON DR
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-5440
Country : US
Telephone Number : 708-862-5500
Fax Number :
Provider Business Practice Location Address
First Line : 1551 HUNTINGTON DR
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-5440
Country : US
Telephone Number : 708-862-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2010
Last Update Date : 03/26/2010

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Directions to “ SANDRA M LITERA COTA/L” Practice Location

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