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MR. TERRENCE SCOTT COTA/L

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

Registrant NPI Number: 1861688145

Individual Registrant:
MR. TERRENCE  SCOTT COTA/L
Gender: M
Not Sole Proprietor

Location and contact information for practice:
522 SALLY WHITE RD  HODGES, SC 29653-9374 US
Tel: 864-337-1183  Fax: 864-456-2123

Contact information for business:
PO BOX 67  HODGES, SC 29653-0067 US
Tel: 864-337-1183  Fax: 864-456-2123

Registration Information:
NPI: 1861688145
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
SC2467

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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