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ISVI HERNANDEZ COTA

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

Registrant NPI Number: 1245606417

Individual Registrant:
 ISVI  HERNANDEZ COTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10915 W 133RD AVE  CEDAR LAKE, IN 46303-9706 US
Tel: 219-390-7498  Fax: 219-390-7549

Contact information for business:
10915 W 133RD AVE  CEDAR LAKE, IN 46303-9706 US
Tel: 219-390-7498  Fax: 219-390-7549

Registration Information:
NPI: 1245606417
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
IN32002166A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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