Most Relevant Information
Provider Data
| NPI Number: | 1003016973 |
| Provider Name: | NATALYA ST. KOSTYUK COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 46TA09065400 |
Most Important Dates
| Enumeration Date: | 07/19/2007 |
| Last Updated: | 07/19/2007 |
Provider Practice Location
79C WINTHROP RD
MONROE TWP
NJ
088316692
Practice Location Phone/Fax
| Phone: | 2125682772 |
| Fax: |
Provider Mailing Location
79 C WINTHROP RD
MONROE TWP
NJ
08832
Provider Mailing Phone/Fax
| Phone: | 2125682772 |
| Fax: |