Most Relevant Information
Provider Data
| NPI Number: | 1003033622 |
| Provider Name: | JENNIFER R DEAN COTA ,L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 01069401 |
Most Important Dates
| Enumeration Date: | 04/18/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2300 WARREN ST
EUGENE
OR
974051116
Practice Location Phone/Fax
| Phone: | 5416862828 |
| Fax: |
Provider Mailing Location
PO BOX 165
BAYARD
NM
880230165
Provider Mailing Phone/Fax
| Phone: | 5053133229 |
| Fax: |