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NPI Code Detail

MEDICARE: MEGAN PRPICH COTA

MEDICARE: MEGAN PRPICH 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 Assistant419ASD

General Provider Information

NPI Number : 1770103970
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN PRPICH COTA
Provider Business Mailing Address
First Line : 7929 STEAMBOAT RD
Second Line :
City : SUMMERSET
State : SD
Zip : 57769-3205
Country : US
Telephone Number : 605-430-0115
Fax Number :
Provider Business Practice Location Address
First Line : 2000 WESLEYAN BLVD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-9340
Country : US
Telephone Number : 605-343-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2020
Last Update Date : 04/17/2020

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Directions to “ MEGAN PRPICH COTA” Practice Location

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