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NPI Code Detail

MEDICARE: LINDSEY NICOLE ROGERS COTA

MEDICARE: LINDSEY NICOLE ROGERS 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 AssistantOTA5655CA

General Provider Information

NPI Number : 1578136594
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY NICOLE ROGERS COTA
Provider Business Mailing Address
First Line : 176 STONEGATE RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-7575
Country : US
Telephone Number : 805-509-2161
Fax Number :
Provider Business Practice Location Address
First Line : 4675 VIA LOS SANTOS
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93111-1346
Country : US
Telephone Number : 805-637-5272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2021
Last Update Date : 10/24/2023

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