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NPI Code Detail

MEDICARE: MS. PAIGE REEVES MCKOIN COTA/L

MEDICARE: MS. PAIGE REEVES MCKOIN COTA/L
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-A519AR
2224Z00000XOccupational Therapy Assistant220155LA
3224Z00000XOccupational Therapy AssistantZ20155LA

General Provider Information

NPI Number : 1578710729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAIGE REEVES MCKOIN COTA/L
Provider Business Mailing Address
First Line : 505 GLENMAR AVE
Second Line :
City : MONROE
State : LA
Zip : 71201-5309
Country : US
Telephone Number : 318-327-8223
Fax Number :
Provider Business Practice Location Address
First Line : 505 GLENMAR AVE
Second Line :
City : MONROE
State : LA
Zip : 71201-5309
Country : US
Telephone Number : 318-327-8223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 03/10/2025

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Directions to “ MS. PAIGE REEVES MCKOIN COTA/L” Practice Location

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