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NPI Code Detail

MEDICARE: MRS. NORMARIE JENKINS COTA

MEDICARE: MRS. NORMARIE JENKINS 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 Assistant208308TX

General Provider Information

NPI Number : 1700051976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NORMARIE JENKINS COTA
Provider Business Mailing Address
First Line : 7329 FM 2086
Second Line :
City : TEMPLE
State : TX
Zip : 76501-3612
Country : US
Telephone Number : 254-984-0056
Fax Number : 254-984-0036
Provider Business Practice Location Address
First Line : 2104 N KARNES AVE
Second Line :
City : CAMERON
State : TX
Zip : 76520-1055
Country : US
Telephone Number : 254-697-4985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2008
Last Update Date : 04/28/2008

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