Most Relevant Information
Provider Data
NPI Number: | 1003225624 |
Provider Name: | DEBORAH DURDEN COTA |
Entity Type: | Individual |
Taxonomy Code: | 224Z00000X |
Specialty: | Occupational Therapy Assistant |
License Number: | OTA 000668 |
Most Important Dates
Enumeration Date: | 08/07/2014 |
Last Updated: | 08/07/2014 |
Provider Practice Location
104 BRIGHTON DR
BYRON
GA
310083923
Practice Location Phone/Fax
Phone: | 4783354243 |
Fax: |
Provider Mailing Location
104 BRIGHTON DR
BYRON
GA
310083923
Provider Mailing Phone/Fax
Phone: | 4783354243 |
Fax: |