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NPI Code Detail

MEDICARE: LEANNE CALLAHAN COTA

MEDICARE:   LEANNE  CALLAHAN  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 Assistant11341FL

General Provider Information

NPI Number : 1649436437
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNE CALLAHAN COTA
Provider Business Mailing Address
First Line : 2508 SW 31ST ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-4752
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5121 STALEY RD
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-6934
Country : US
Telephone Number : 239-404-8329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2008
Last Update Date : 11/06/2024

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Directions to “ LEANNE CALLAHAN COTA” Practice Location

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