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MISS JODI LYN BELL COTA/L

>> Contractor >> Other Service Providers

Registrant NPI Number: 1043671878

Individual Registrant:
MISS JODI LYN BELL COTA/L
Gender: F
Sole Proprietor

Location and contact information for practice:
37142 CALHOUN RD  EUSTIS, FL 32736-8517 US
Tel: 321-614-4498  Fax: --

Contact information for business:
37142 CALHOUN RD  EUSTIS, FL 32736-8517 US
Tel: 321-614-4498  Fax: --

Registration Information:
NPI: 1043671878
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N171W00000XOther Service Providers
Contractor
FLOTA11023
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
FLOTA11023

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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