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NPI Code Detail

MEDICARE: LEZLIE JANELL BIGHAM COTA

MEDICARE: LEZLIE JANELL BIGHAM 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 Assistant313809OR

General Provider Information

NPI Number : 1568322824
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEZLIE JANELL BIGHAM COTA
Provider Business Mailing Address
First Line : 581 D ST
Second Line :
City : CRESWELL
State : OR
Zip : 97426-9536
Country : US
Telephone Number : 541-968-9404
Fax Number :
Provider Business Practice Location Address
First Line : 65 W 30TH AVE
Second Line :
City : EUGENE
State : OR
Zip : 97405-3485
Country : US
Telephone Number : 541-342-5901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2025
Last Update Date : 11/17/2025

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