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NPI Code Detail

MEDICARE: HELEN LANANNE SMITHVALDIVIA COTA

MEDICARE: HELEN LANANNE SMITHVALDIVIA 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 AssistantOP002180-LPA

General Provider Information

NPI Number : 1851411250
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN LANANNE SMITHVALDIVIA COTA
Provider Business Mailing Address
First Line : 544 S 2ND ST
Second Line :
City : DARBY
State : PA
Zip : 19023-3105
Country : US
Telephone Number : 610-586-4617
Fax Number :
Provider Business Practice Location Address
First Line : 2100 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-1400
Country : US
Telephone Number : 215-685-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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