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NPI Code Detail

MEDICARE: MADALYN PAIGE MARSH COTA/L

MEDICARE: MADALYN PAIGE MARSH 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 : 1538631643
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADALYN PAIGE MARSH COTA/L
Provider Business Mailing Address
First Line : 2000 MAIN ST
Second Line :
City : PARIS
State : KY
Zip : 40361-1149
Country : US
Telephone Number : 502-370-1187
Fax Number :
Provider Business Practice Location Address
First Line : 2000 MAIN ST
Second Line :
City : PARIS
State : KY
Zip : 40361-1149
Country : US
Telephone Number : 502-370-1187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2018
Last Update Date : 12/31/2018

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Directions to “ MADALYN PAIGE MARSH COTA/L” Practice Location

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