Most Relevant Information
Provider Data
| NPI Number: | 1003364027 |
| Provider Name: | AMY MINER COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 12049A |
Most Important Dates
| Enumeration Date: | 09/19/2016 |
| Last Updated: | 09/19/2016 |
Provider Practice Location
6840 E BROWN RD STE 104
MESA
AZ
852073759
Practice Location Phone/Fax
| Phone: | 4802024008 |
| Fax: | 8883751033 |
Provider Mailing Location
6840 E BROWN RD STE 104
MESA
AZ
852073759
Provider Mailing Phone/Fax
| Phone: | 4802024008 |
| Fax: | 8883751033 |