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DAISY JACOBO COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1912465972

Individual Registrant:
 DAISY  JACOBO COTA/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
171 HUNTLEY LN  NOEL, MO 64854-9383 US
Tel: 479-866-5062  Fax: --

Contact information for business:
171 HUNTLEY LN  NOEL, MO 64854-9383 US
Tel: 479-866-5062  Fax: --

Registration Information:
NPI: 1912465972
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
AR

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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