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MR. ANTHONY CYRULIK COTA
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1598135444
Individual Registrant:MR. ANTHONY CYRULIK COTA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
26 MATTABASSETT ST EAST BERLIN, CT 06023-1114 US
Tel: 860-707-5369 Fax: --
Tel: 860-707-5369 Fax: --
Contact information for business:
26 MATTABASSETT ST EAST BERLIN, CT 06023-1114 US
Tel: 860-707-5369 Fax: --
Tel: 860-707-5369 Fax: --
Registration Information:
NPI: 1598135444
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 | CT | 1615 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
