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NPI Code Detail

MEDICARE: MISS JULIE ANN PRESTON COTA/L

MEDICARE: MISS JULIE ANN PRESTON 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 AssistantOA1399ME

General Provider Information

NPI Number : 1831387026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JULIE ANN PRESTON COTA/L
Provider Business Mailing Address
First Line : 440 MINOT AVE
Second Line :
City : AUBURN
State : ME
Zip : 04210-4332
Country : US
Telephone Number : 207-784-3573
Fax Number : 207-782-6733
Provider Business Practice Location Address
First Line : 440 MINOT AVE
Second Line :
City : AUBURN
State : ME
Zip : 04210-4332
Country : US
Telephone Number : 207-784-3573
Fax Number : 207-782-6733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2007
Last Update Date : 10/12/2007

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