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NPI Code Detail

MEDICARE: DORIS KAIMURI KAIRICHI COTA

MEDICARE: DORIS KAIMURI KAIRICHI 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 Assistant212300TX

General Provider Information

NPI Number : 1538640115
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS KAIMURI KAIRICHI COTA
Provider Business Mailing Address
First Line : 3103 SUNNY PRAIRIE DR
Second Line :
City : EL PASO
State : TX
Zip : 79938-1605
Country : US
Telephone Number : 915-356-4895
Fax Number :
Provider Business Practice Location Address
First Line : 10350 MONTANA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79925-1602
Country : US
Telephone Number : 915-595-6137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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Directions to “ DORIS KAIMURI KAIRICHI COTA” Practice Location

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