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PATRICIA NEIDVIECKY COTA/L

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

Registrant NPI Number: 1114382587

Individual Registrant:
 PATRICIA  NEIDVIECKY COTA/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1710 IDAHO ST  SUPERIOR, NE 68978-9574 US
Tel: 402-879-4791  Fax: --

Contact information for business:
25117 SW PARKWAY AVE, SUITE D WILSONVILLE, OR 97070 US
Tel: 971-224-2040  Fax: --

Registration Information:
NPI: 1114382587
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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