Most Relevant Information
Provider Data
| NPI Number: | 1003216615 |
| Provider Name: | COLLEEN PATRICIA REILLY COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 640022131 |
Most Important Dates
| Enumeration Date: | 09/02/2014 |
| Last Updated: | 09/02/2014 |
Provider Practice Location
191 WASHINGTON ST
NEWBURGH
NY
125505540
Practice Location Phone/Fax
| Phone: | 8456295920 |
| Fax: |
Provider Mailing Location
191 WASHINGTON ST
NEWBURGH
NY
125505540
Provider Mailing Phone/Fax
| Phone: | 8456295920 |
| Fax: |