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NPI Code Detail

MEDICARE: MRS. MARGARET E WYATT COTA/L

MEDICARE: MRS. MARGARET E WYATT 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 Assistant

General Provider Information

NPI Number : 1528327269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET E WYATT COTA/L
Provider Business Mailing Address
First Line : 2952 HOLLY HILL DR
Second Line :
City : BURLINGTON
State : KY
Zip : 41005-9496
Country : US
Telephone Number : 859-586-0374
Fax Number :
Provider Business Practice Location Address
First Line : 8139 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-3152
Country : US
Telephone Number : 513-474-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2012
Last Update Date : 05/15/2012

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