DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUSTIN TATE COTA/L

MEDICARE: JUSTIN TATE 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 AssistantC2611WV

General Provider Information

NPI Number : 1588529408
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN TATE COTA/L
Provider Business Mailing Address
First Line : 722 OVERLOOK DR
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9494
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1390 N POPLAR FORK RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-7112
Country : US
Telephone Number : 304-757-7826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

Similar Medicare Providers

1861947103 — CARLY SAUNDERS M.S., CCC/SLP
Practice Location Address:
1390 N POPLAR FORK RD
HURRICANE, WV
25526-7112
Practice Phone: 304-757-7826
Practice Fax:
1437635935 — MOLLY E GINGER
Practice Location Address:
1390 N POPLAR FORK RD
HURRICANE, WV
25526-7112
Practice Phone: 304-757-7826
Practice Fax:
1487341061 — RONICA MUTH SLP
Practice Location Address:
1390 N POPLAR FORK RD
HURRICANE, WV
25526-7112
Practice Phone: 304-757-7826
Practice Fax:
1083305460 — AMANDA TANNER PT, DPT
Practice Location Address:
1390 N POPLAR FORK RD
HURRICANE, WV
25526-7112
Practice Phone: 304-757-7826
Practice Fax:
1497437065 — DALTON MICHAEL GRAY
Practice Location Address:
1390 N POPLAR FORK RD
HURRICANE, WV
25526-7112
Practice Phone: 304-757-7826
Practice Fax:
1215792155 — VISAVIS HEALTH CARE MEDICAL GROUP OF WV PLLC
Practice Location Address:
1390 N POPLAR FORK RD
HURRICANE, WV
25526-7112
Practice Phone: 929-491-7333
Practice Fax:

Directions to “ JUSTIN TATE COTA/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.