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NPI Code Detail

MEDICARE: SUZANNE HEPLER COTA/L

MEDICARE:   SUZANNE  HEPLER  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 Assistant0131001992VA
2224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1720513732
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE HEPLER COTA/L
Provider Business Mailing Address
First Line : 7092 HARR AVE BLDG 6492
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80902-2190
Country : US
Telephone Number : 803-645-3484
Fax Number :
Provider Business Practice Location Address
First Line : 7092 HARR AVE BLDG 6492
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80902-2190
Country : US
Telephone Number : 803-645-3484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2017
Last Update Date : 08/22/2024

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Directions to “ SUZANNE HEPLER COTA/L” Practice Location

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