Most Relevant Information
Provider Data
| NPI Number: | 1003199969 |
| Provider Name: | DORETTA GAYLE BROWN COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 0020061 |
Most Important Dates
| Enumeration Date: | 09/27/2011 |
| Last Updated: | 09/27/2011 |
Provider Practice Location
621 10TH ST
NIAGARA FALLS
NY
143011813
Practice Location Phone/Fax
| Phone: | 7162784465 |
| Fax: | 7162784018 |
Provider Mailing Location
621 10TH ST
NIAGARA FALLS
NY
143011813
Provider Mailing Phone/Fax
| Phone: | 7162784465 |
| Fax: | 7162784018 |