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NPI Code Detail

MEDICARE: KAREN SUE ALLEN COTA

MEDICARE: KAREN SUE ALLEN 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 Assistant1738-27WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598097818
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SUE ALLEN COTA
Provider Business Mailing Address
First Line : 3205 WOOD RD
Second Line :
City : RACINE
State : WI
Zip : 53406-5048
Country : US
Telephone Number : 262-598-1046
Fax Number :
Provider Business Practice Location Address
First Line : 3205 WOOD RD
Second Line :
City : RACINE
State : WI
Zip : 53406-5048
Country : US
Telephone Number : 262-598-1046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2010
Last Update Date : 02/11/2010

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