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NPI Code Detail

MEDICARE: REBECCA A CORWIN COTA/L

MEDICARE: REBECCA A CORWIN COTA/L
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 Assistant1800720KS

General Provider Information

NPI Number : 1649580788
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA A CORWIN COTA/L
Provider Business Mailing Address
First Line : 2503 N MONROE ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-3463
Country : US
Telephone Number : 785-769-6046
Fax Number :
Provider Business Practice Location Address
First Line : 810 E 30TH AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-4340
Country : US
Telephone Number : 620-669-8662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 10/07/2010

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Directions to “ REBECCA A CORWIN COTA/L” Practice Location

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