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NPI Code Detail

MEDICARE: MISS ELIZABETH MARIE BIACHE COTA/L

MEDICARE: MISS ELIZABETH MARIE BIACHE 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 Assistant2586TN

General Provider Information

NPI Number : 1982138137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELIZABETH MARIE BIACHE COTA/L
Provider Business Mailing Address
First Line : 5010 TROTWOOD AVE
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-5074
Country : US
Telephone Number : 931-398-6300
Fax Number :
Provider Business Practice Location Address
First Line : 5010 TROTWOOD AVE
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-5074
Country : US
Telephone Number : 931-398-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2017
Last Update Date : 04/14/2017

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