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MRS. TAMARA KHILLA COTA/L
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1750811303
Individual Registrant:MRS. TAMARA KHILLA COTA/L
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
43860 10TH ST WEST LANCHESTER, CA 93534 US
Tel: 661-945-7878 Fax: 661-945-7553
Tel: 661-945-7878 Fax: 661-945-7553
Contact information for business:
43860 10TH ST WEST LANCHESTER, CA 93534 US
Tel: 661-945-7878 Fax: 661-945-7553
Tel: 661-945-7878 Fax: 661-945-7553
Registration Information:
NPI: 1750811303
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 | CA | OTA3800 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
