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NPI Code Detail

MEDICARE: LAURIE JOSEPH COTA

MEDICARE:   LAURIE  JOSEPH  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 AssistantU271DE

General Provider Information

NPI Number : 1629196415
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE JOSEPH COTA
Provider Business Mailing Address
First Line : 502 ELM DR
Second Line :
City : SEAFORD
State : DE
Zip : 19973-2014
Country : US
Telephone Number : 302-854-6575
Fax Number : 302-854-6580
Provider Business Practice Location Address
First Line : 110 W NORTH ST
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-2137
Country : US
Telephone Number : 302-854-6575
Fax Number : 302-854-6580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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Directions to “ LAURIE JOSEPH COTA” Practice Location

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