Most Relevant Information
Provider Data
| NPI Number: | 1003338229 |
| Provider Name: | JAMIE DELORIS WHITSON COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA9501 |
Most Important Dates
| Enumeration Date: | 07/10/2017 |
| Last Updated: | 07/10/2017 |
Provider Practice Location
2701 LAKE ALFRED RD
WINTER HAVEN
FL
338811432
Practice Location Phone/Fax
| Phone: | 8632985000 |
| Fax: |
Provider Mailing Location
PO BOX 66
HOMELAND
FL
338470066
Provider Mailing Phone/Fax
| Phone: | 8632219617 |
| Fax: |