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NPI Code Detail

MEDICARE: JOCELYN RENE MCELDERRY COTA

MEDICARE: JOCELYN RENE MCELDERRY 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 AssistantOC60547194WA

General Provider Information

NPI Number : 1881077394
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN RENE MCELDERRY COTA
Provider Business Mailing Address
First Line : 706 GEORGE WASHINGTON WAY
Second Line :
City : RICHLAND
State : WA
Zip : 99352-4211
Country : US
Telephone Number : 509-946-9200
Fax Number : 509-943-0649
Provider Business Practice Location Address
First Line : 706 GEORGE WASHINGTON WAY
Second Line :
City : RICHLAND
State : WA
Zip : 99352-4211
Country : US
Telephone Number : 509-946-9200
Fax Number : 509-943-0649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 07/01/2015

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Directions to “ JOCELYN RENE MCELDERRY COTA” Practice Location

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