Most Relevant Information
Provider Data
| NPI Number: | 1003353269 |
| Provider Name: | MELANIE JOYCE PINKSTON COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 369144 |
Most Important Dates
| Enumeration Date: | 01/26/2017 |
| Last Updated: | 01/26/2017 |
Provider Practice Location
921 SHILOH RD
SUITE 120
TYLER
TX
757031431
Practice Location Phone/Fax
| Phone: | 9039392800 |
| Fax: |
Provider Mailing Location
305 NE LOOP 820
BUSINESS TOWER 1, SUITE 200
HURST
TX
760537209
Provider Mailing Phone/Fax
| Phone: | 8172928787 |
| Fax: | 8177896849 |