Most Relevant Information
Provider Data
| NPI Number: | 1003184896 |
| Provider Name: | JAMIE LYNN ANDERSON COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 4651 |
Most Important Dates
| Enumeration Date: | 12/07/2011 |
| Last Updated: | 12/07/2011 |
Provider Practice Location
660 S CORONADO DR
SIERRA VISTA
AZ
856353386
Practice Location Phone/Fax
| Phone: | 5204594900 |
| Fax: |
Provider Mailing Location
660 S CORONADO DR
SIERRA VISTA
AZ
856353386
Provider Mailing Phone/Fax
| Phone: | 5204594900 |
| Fax: |