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NPI Code Detail

MEDICARE: JEN KOTHE MOT, OTR/L

MEDICARE:   JEN  KOTHE  MOT, OTR/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
1225X00000XOccupational Therapist2457CA

General Provider Information

NPI Number : 1821957812
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEN KOTHE MOT, OTR/L
Provider Business Mailing Address
First Line : 1965 BIRKMONT DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95742-6407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1965 BIRKMONT DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95742-6407
Country : US
Telephone Number : 916-294-9007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ JEN KOTHE MOT, OTR/L” Practice Location

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