MEDICARE: MRS. PATRIZIA TALBERT 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
1	224Z00000X	Occupational Therapy Assistant	OP001036L	PA

General Provider Information

NPI Number	:	1952768806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRIZIA TALBERT COTA/L

Provider Business Mailing Address
First Line	:	209 RED FOX CIR
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-2130
Country	:	US
Telephone Number	:	610-633-6803
Fax Number	:	610-983-0481

Provider Business Practice Location Address
First Line	:	209 RED FOX CIR
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-2130
Country	:	US
Telephone Number	:	610-633-6803
Fax Number	:	610-983-0481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2016
Last Update Date	:	01/23/2016

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