Most Relevant Information
Provider Data
| NPI Number: | 1003322439 |
| Provider Name: | SKYLA BURD BIESECKER COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 212749 |
Most Important Dates
| Enumeration Date: | 12/21/2017 |
| Last Updated: | 12/21/2017 |
Provider Practice Location
6502 SLIDE RD STE 204
LUBBOCK
TX
794241311
Practice Location Phone/Fax
| Phone: | 8066980864 |
| Fax: |
Provider Mailing Location
6502 SLIDE RD STE 204
LUBBOCK
TX
794241311
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |