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MRS. TAMARA KHILLA COTA/L

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

Registrant NPI Number: 1750811303

Individual Registrant:
MRS. TAMARA  KHILLA COTA/L
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

Contact information for business:
43860 10TH ST WEST  LANCHESTER, CA 93534 US
Tel: 661-945-7878  Fax: 661-945-7553

Registration Information:
NPI: 1750811303
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
CAOTA3800

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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