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NPI Code Detail

MEDICARE: MS. LAUREEN MARIE AKERVIK COTA

MEDICARE:  MS. LAUREEN MARIE AKERVIK  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 Assistant200237MN

General Provider Information

NPI Number : 1548288517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREEN MARIE AKERVIK COTA
Provider Business Mailing Address
First Line : 13936 SUNSET LAKE DR
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-7735
Country : US
Telephone Number : 952-426-1303
Fax Number :
Provider Business Practice Location Address
First Line : 1401 E 100TH ST
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-2615
Country : US
Telephone Number : 952-948-5140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LAUREEN MARIE AKERVIK COTA” Practice Location

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