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NPI Code Detail

MEDICARE: MICHELLE PIGG COTA/L

MEDICARE: MICHELLE PIGG 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 Assistant2018014582MO

General Provider Information

NPI Number : 1942962527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PIGG COTA/L
Provider Business Mailing Address
First Line : 6476 CEDAR HILL RD
Second Line :
City : CEDAR HILL
State : MO
Zip : 63016-2419
Country : US
Telephone Number : 314-686-3873
Fax Number :
Provider Business Practice Location Address
First Line : 6400 THE CEDARS CT
Second Line :
City : CEDAR HILL
State : MO
Zip : 63016-2220
Country : US
Telephone Number : 636-274-1777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2021
Last Update Date : 10/11/2021

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Directions to “ MICHELLE PIGG COTA/L” Practice Location

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