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NPI Code Detail

MEDICARE: ANNA MARIE GATLIFF COTA

MEDICARE: ANNA MARIE GATLIFF 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 AssistantOT-A1613AR

General Provider Information

NPI Number : 1578161311
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARIE GATLIFF COTA
Provider Business Mailing Address
First Line : 784 BILLSTOWN RD
Second Line :
City : DELIGHT
State : AR
Zip : 71940-8190
Country : US
Telephone Number : 870-925-0074
Fax Number :
Provider Business Practice Location Address
First Line : 185 CORNERSTONE LN
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6500
Country : US
Telephone Number : 501-627-8015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2020
Last Update Date : 10/14/2020

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Directions to “ ANNA MARIE GATLIFF COTA” Practice Location

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