Most Relevant Information
Provider Data
| NPI Number: | 1003079559 |
| Provider Name: | STACY A RYMAN COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 983532 |
Most Important Dates
| Enumeration Date: | 07/04/2008 |
| Last Updated: | 11/27/2011 |
Provider Practice Location
1995 E CORNELIUS HARNETT BLVD
UNIVERSAL HEALTHCARE
LILLINGTON
NC
275468276
Practice Location Phone/Fax
| Phone: | 9108140880 |
| Fax: | 9108140890 |
Provider Mailing Location
1995 E CORNELIUS HARNETT BLVD
UNIVERSAL HEALTHCARE
LILLINGTON
NC
275468276
Provider Mailing Phone/Fax
| Phone: | 9108140880 |
| Fax: | 9108140890 |