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NPI Code Detail

MEDICARE: DIANE SANDRA FIRESTONE COTA

MEDICARE: DIANE SANDRA FIRESTONE 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 AssistantOP006823PA

General Provider Information

NPI Number : 1831658194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE SANDRA FIRESTONE COTA
Provider Business Mailing Address
First Line : 5035 CLAIRTON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-2103
Country : US
Telephone Number : 412-440-0142
Fax Number :
Provider Business Practice Location Address
First Line : 410 TERRACE DR
Second Line :
City : UNIONTOWN
State : PA
Zip : 15401-8991
Country : US
Telephone Number : 724-438-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2019
Last Update Date : 03/17/2019

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Directions to “ DIANE SANDRA FIRESTONE COTA” Practice Location

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