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NPI Code Detail

MEDICARE: CYNTHIA B FREEMAN COTA

MEDICARE: CYNTHIA B FREEMAN 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 Assistant1071048VA

General Provider Information

NPI Number : 1518082270
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA B FREEMAN COTA
Provider Business Mailing Address
First Line : 4223 APPERTON AVE
Second Line :
City : ROANOKE
State : VA
Zip : 24017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4550 SHENANDOAH AVE NW
Second Line :
City : ROANOKE
State : VA
Zip : 24017-4749
Country : US
Telephone Number : 540-982-2860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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Directions to “ CYNTHIA B FREEMAN COTA” Practice Location

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