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NPI Code Detail

MEDICARE: TAMMY KAY ALLAR COTA

MEDICARE: TAMMY KAY ALLAR 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 Assistant1907-027WI

General Provider Information

NPI Number : 1992978928
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY KAY ALLAR COTA
Provider Business Mailing Address
First Line : 1755 N BARKER RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-1801
Country : US
Telephone Number : 262-821-3939
Fax Number :
Provider Business Practice Location Address
First Line : 1755 N BARKER RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-1801
Country : US
Telephone Number : 262-821-3939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2008
Last Update Date : 04/11/2008

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