MEDICARE: MS. BETTY RAMIREZ 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
1	224Z00000X	Occupational Therapy Assistant	114185	TX

General Provider Information

NPI Number	:	1801110341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETTY RAMIREZ COTA

Provider Business Mailing Address
First Line	:	2313 ISAIHA ST
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78542-3878
Country	:	US
Telephone Number	:	956-207-6037
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 E NOLANA LOOP
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5838
Country	:	US
Telephone Number	:	956-299-3906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2010
Last Update Date	:	02/28/2019

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