MEDICARE: LYNDA SALINE 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
1	224Z00000X	Occupational Therapy Assistant	207891	TX

General Provider Information

NPI Number	:	1548670243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNDA SALINE COTA

Provider Business Mailing Address
First Line	:	2118 ELMDALE RD N
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-6829
Country	:	US
Telephone Number	:	325-660-0929
Fax Number	:	325-670-9877

Provider Business Practice Location Address
First Line	:	2118 ELMDALE RD N
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-6829
Country	:	US
Telephone Number	:	325-660-0929
Fax Number	:	325-670-9877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	05/02/2014

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