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NPI Code Detail

MEDICARE: MRS. TANIA LEE HOLZHUETER COTA

MEDICARE: MRS. TANIA LEE HOLZHUETER 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 Assistant562027WI

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 : 1689887713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TANIA LEE HOLZHUETER COTA
Provider Business Mailing Address
First Line : 847 ANNA CT
Second Line :
City : WATERLOO
State : WI
Zip : 53594-1161
Country : US
Telephone Number : 920-478-2187
Fax Number :
Provider Business Practice Location Address
First Line : 41 RICKEL RD
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-1840
Country : US
Telephone Number : 608-837-8529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/09/2007

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