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NPI Code Detail

MEDICARE: CATHERINE PEARL CLOUGH COTA

MEDICARE:   CATHERINE PEARL CLOUGH  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 Assistant005154MO

General Provider Information

NPI Number : 1508037813
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE PEARL CLOUGH COTA
Provider Business Mailing Address
First Line : 1666 HIGH QUEST CIR
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-3359
Country : US
Telephone Number : 573-999-0933
Fax Number :
Provider Business Practice Location Address
First Line : 1666 HIGH QUEST CIR
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-3359
Country : US
Telephone Number : 573-999-0933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2008
Last Update Date : 03/13/2008

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Directions to “ CATHERINE PEARL CLOUGH COTA” Practice Location

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