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NPI Code Detail

MEDICARE: MRS. ROSEMARY ANN LAFLER COTA/L

MEDICARE: MRS. ROSEMARY ANN LAFLER 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 AssistantKYOTA0046KY
2225700000XMassage TherapistMT0025KY

General Provider Information

NPI Number : 1700102068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSEMARY ANN LAFLER COTA/L
Provider Business Mailing Address
First Line : 1151 LARMON MILL RD
Second Line :
City : ALVATON
State : KY
Zip : 42122-9524
Country : US
Telephone Number : 270-842-4837
Fax Number :
Provider Business Practice Location Address
First Line : 5079 SCOTTSVILLE RD
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42104-7897
Country : US
Telephone Number : 270-782-1125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2010
Last Update Date : 09/30/2015

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