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NPI Code Detail

MEDICARE: MISS BETH-ANN GREEN-STOLTZNER AAS COTA

MEDICARE: MISS BETH-ANN GREEN-STOLTZNER AAS 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
1373H00000XDay Training/Habilitation Specialist682CA

General Provider Information

NPI Number : 1629277066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BETH-ANN GREEN-STOLTZNER AAS COTA
Provider Business Mailing Address
First Line : 8497 W. CONCORDIA DR
Second Line : REHABILITATION DEPARTMENT
City : ARIZONA CITY
State : AZ
Zip : 85123-2211
Country : US
Telephone Number : 530-828-8874
Fax Number :
Provider Business Practice Location Address
First Line : 8497 W. CONCORDIA DR
Second Line : REHABILITATION DEPARTMENT
City : ARIZONA CITY
State : AZ
Zip : 85123-2211
Country : US
Telephone Number : 530-828-8874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 10/24/2016

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Directions to “ MISS BETH-ANN GREEN-STOLTZNER AAS COTA” Practice Location

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