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NPI Code Detail

MEDICARE: KALYNA PIASTA COTA

MEDICARE: KALYNA PIASTA 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 Assistant

General Provider Information

NPI Number : 1508429812
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALYNA PIASTA COTA
Provider Business Mailing Address
First Line : 635 MARY RD
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-9735
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 NW HIGHLAND AVE
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-3365
Country : US
Telephone Number : 541-474-1901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2019
Last Update Date : 04/22/2019

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Directions to “ KALYNA PIASTA COTA” Practice Location

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