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NPI Code Detail

MEDICARE: MRS. DEBORAH MOSHER COTA

MEDICARE:  MRS. DEBORAH  MOSHER  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 Assistant002145NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1224Z00000XOTHERNYOCCUPATIONAL THERAPY ASSISTANT

General Provider Information

NPI Number : 1891067062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH MOSHER COTA
Provider Business Mailing Address
First Line : 9 QUAIL HOLLOW RD
Second Line :
City : GLENMONT
State : NY
Zip : 12077-4426
Country : US
Telephone Number : 518-426-0711
Fax Number :
Provider Business Practice Location Address
First Line : 30 SOUTHGATE RD
Second Line :
City : LOUDONVILLE
State : NY
Zip : 12211-1132
Country : US
Telephone Number : 518-785-6607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2012
Last Update Date : 02/03/2012

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Directions to “ MRS. DEBORAH MOSHER COTA” Practice Location

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