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JOHN WILLIAM FORESTER COTA
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1467725036
Individual Registrant: JOHN WILLIAM FORESTER COTA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1502 MAIN ST GREENSBORO, AL 36744-1552 US
Tel: 601-581-1191 Fax: --
Tel: 601-581-1191 Fax: --
Contact information for business:
1615 7TH AVE HALEYVILLE, AL 35565-1233 US
Tel: 205-269-5096 Fax: --
Tel: 205-269-5096 Fax: --
Registration Information:
NPI: 1467725036
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | AL | 3390 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
