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TRACI MICHELLE BURLESON COTA

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

Registrant NPI Number: 1962635888

Individual Registrant:
 TRACI MICHELLE BURLESON COTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
519 LATHAM DR SCHMIEDING KIDS FIRST LOWELL, AR 72745-8360 US
Tel: 479-750-0130  Fax: --

Contact information for business:
1845 N ALBANY LN  FAYETTEVILLE, AR 72704-5380 US
Tel: 704-995-0068  Fax: --

Registration Information:
NPI: 1962635888
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
AROT-A574

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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