Most Relevant Information
Provider Data
| NPI Number: | 1003045642 |
| Provider Name: | JACQUELINE FOOTE COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 003149 |
Most Important Dates
| Enumeration Date: | 07/03/2009 |
| Last Updated: | 07/03/2009 |
Provider Practice Location
202 E MILL ST
HUMANSVILLE
MO
656748507
Practice Location Phone/Fax
| Phone: | 4177541601 |
| Fax: |
Provider Mailing Location
206 W LEE ST
BUTLER
MO
647301130
Provider Mailing Phone/Fax
| Phone: | 6602279007 |
| Fax: |