MEDICARE: MISS CARA LYNN ERRAIR 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	OTA 9930	FL

General Provider Information

NPI Number	:	1841404274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CARA LYNN ERRAIR COTA

Provider Business Mailing Address
First Line	:	3157 NW 69TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-1209
Country	:	US
Telephone Number	:	954-294-4492
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 OLD BOYNTON RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-3912
Country	:	US
Telephone Number	:	561-736-9992
Fax Number	:

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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