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NPI Code Detail

MEDICARE: MRS. NATALIE ELIZABETH MYERS COTA

MEDICARE: MRS. NATALIE ELIZABETH MYERS 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 AssistantOT-A687AR

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 : 1629404868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATALIE ELIZABETH MYERS COTA
Provider Business Mailing Address
First Line : PO DRAWER 2109
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72811
Country : US
Telephone Number : 479-967-2322
Fax Number : 479-967-2876
Provider Business Practice Location Address
First Line : 272 SCHOOL AVE
Second Line :
City : WEST FORK
State : AR
Zip : 72774-3124
Country : US
Telephone Number : 479-839-3349
Fax Number : 479-839-3752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2013
Last Update Date : 01/11/2023

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