Most Relevant Information
Provider Data
| NPI Number: | 1003268418 |
| Provider Name: | LISA SANTIAGO COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA 15199 |
Most Important Dates
| Enumeration Date: | 07/09/2016 |
| Last Updated: | 07/09/2016 |
Provider Practice Location
2179 SW OAKWATER PT
PALM CITY
FL
349907721
Practice Location Phone/Fax
| Phone: | 7722847926 |
| Fax: |
Provider Mailing Location
2179 SW OAKWATER PT
PALM CITY
FL
349907721
Provider Mailing Phone/Fax
| Phone: | 7722847926 |
| Fax: |