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NPI Code Detail

MEDICARE: ROBERT MCCLINTOCK COTA/L

MEDICARE:   ROBERT  MCCLINTOCK  COTA/L
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 AssistantKY-A3020KY

General Provider Information

NPI Number : 1891130456
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MCCLINTOCK COTA/L
Provider Business Mailing Address
First Line : 8625 BROWNSVILLE RD
Second Line :
City : MORGANTOWN
State : KY
Zip : 42261
Country : US
Telephone Number : 270-662-0238
Fax Number :
Provider Business Practice Location Address
First Line : 5079 SCOTTSVILLE RD
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42104-7897
Country : US
Telephone Number : 270-781-2462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2013
Last Update Date : 05/08/2013

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Directions to “ ROBERT MCCLINTOCK COTA/L” Practice Location

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