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NPI Code Detail

MEDICARE: ERIKA THOMPSON COTA/L

MEDICARE:   ERIKA  THOMPSON  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 Assistant009413-01NY

General Provider Information

NPI Number : 1699547570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA THOMPSON COTA/L
Provider Business Mailing Address
First Line : 27 STONY BROOK DR
Second Line :
City : REXFORD
State : NY
Zip : 12148-1607
Country : US
Telephone Number : 917-364-7305
Fax Number :
Provider Business Practice Location Address
First Line : 297 N BALLSTON AVE
Second Line :
City : SCOTIA
State : NY
Zip : 12302-2427
Country : US
Telephone Number : 518-370-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2023
Last Update Date : 10/24/2023

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Directions to “ ERIKA THOMPSON COTA/L” Practice Location

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