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KATHELEEN CRUMP COTA

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

Registrant NPI Number: 1184396921

Individual Registrant:
 KATHELEEN  CRUMP COTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
225 S PHILPOT ST  CEDARTOWN, GA 30125-3021 US
Tel: 404-621-1211  Fax: --

Contact information for business:
1000 STEVENS ENTRY APT C211  PEACHTREE CITY, GA 30269-1387 US
Tel: --  Fax: --

Registration Information:
NPI: 1184396921
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
GAOTA001429

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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