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NPI Code Detail

MEDICARE: MONICA M FLESCH COTA

MEDICARE:   MONICA M FLESCH  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 Assistant4907-27WI

General Provider Information

NPI Number : 1740542026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA M FLESCH COTA
Provider Business Mailing Address
First Line : 5700 MOCKINGBIRD LN
Second Line :
City : GREENDALE
State : WI
Zip : 53129-1442
Country : US
Telephone Number : 414-423-1399
Fax Number : 414-423-1473
Provider Business Practice Location Address
First Line : 5700 MOCKINGBIRD LN
Second Line :
City : GREENDALE
State : WI
Zip : 53129-1442
Country : US
Telephone Number : 414-423-1399
Fax Number : 414-423-1473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2012
Last Update Date : 10/30/2012

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Directions to “ MONICA M FLESCH COTA” Practice Location

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