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NPI Code Detail

MEDICARE: JENNIFER NEAL COTA

MEDICARE: JENNIFER NEAL 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 AssistantOTA2153AR

General Provider Information

NPI Number : 1831045913
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NEAL COTA
Provider Business Mailing Address
First Line : 6101 N STATELINE AVE
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-5309
Country : US
Telephone Number : 903-791-2299
Fax Number :
Provider Business Practice Location Address
First Line : 6101 N STATELINE AVE
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-5309
Country : US
Telephone Number : 903-791-2299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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