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NPI Code Detail

MEDICARE: MRS. HOLLY MARIE MILLER COTA/L

MEDICARE: MRS. HOLLY MARIE MILLER 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 Assistant02988OH

General Provider Information

NPI Number : 1790088458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLY MARIE MILLER COTA/L
Provider Business Mailing Address
First Line : 804 S MUMAUGH RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3569
Country : US
Telephone Number : 419-225-9040
Fax Number : 419-225-9292
Provider Business Practice Location Address
First Line : 804 S MUMAUGH RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3569
Country : US
Telephone Number : 419-225-9040
Fax Number : 419-225-9292
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2010
Last Update Date : 12/17/2010

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Directions to “ MRS. HOLLY MARIE MILLER COTA/L” Practice Location

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