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NPI Code Detail

MEDICARE: LINDSEY MARIE HOUSEKNECHT COTA

MEDICARE: LINDSEY MARIE HOUSEKNECHT 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 AssistantOP006177PA

General Provider Information

NPI Number : 1861727752
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY MARIE HOUSEKNECHT COTA
Provider Business Mailing Address
First Line : 211 E 1ST ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1405
Country : US
Telephone Number : 570-784-5930
Fax Number :
Provider Business Practice Location Address
First Line : 211 E 1ST ST
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1405
Country : US
Telephone Number : 570-784-5930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2009
Last Update Date : 10/09/2009

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Directions to “ LINDSEY MARIE HOUSEKNECHT COTA” Practice Location

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