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JOHN WILLIAM FORESTER COTA

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

Registrant NPI Number: 1467725036

Individual Registrant:
 JOHN WILLIAM FORESTER COTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1502 MAIN ST  GREENSBORO, AL 36744-1552 US
Tel: 601-581-1191  Fax: --

Contact information for business:
1615 7TH AVE  HALEYVILLE, AL 35565-1233 US
Tel: 205-269-5096  Fax: --

Registration Information:
NPI: 1467725036
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
AL3390

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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