Most Relevant Information
Provider Data
| NPI Number: | 1003052911 |
| Provider Name: | NICOLE HOLTZ COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 4658027 |
Most Important Dates
| Enumeration Date: | 12/23/2008 |
| Last Updated: | 12/23/2008 |
Provider Practice Location
814 JACKSON STREET
STOUGHTON
WI
535891520
Practice Location Phone/Fax
| Phone: | 6088736448 |
| Fax: |
Provider Mailing Location
814 JACKSON STREET
STOUGHTON
WI
535891520
Provider Mailing Phone/Fax
| Phone: | 6088736448 |
| Fax: |