Most Relevant Information
Provider Data
| NPI Number: | 1003367020 |
| Provider Name: | ALEXIS GRAHAM COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | U2-0001701 |
Most Important Dates
| Enumeration Date: | 10/14/2016 |
| Last Updated: | 10/14/2016 |
Provider Practice Location
109 OAKWOOD CT
NEW CASTLE
DE
197201383
Practice Location Phone/Fax
| Phone: | 3022207058 |
| Fax: |
Provider Mailing Location
109 OAKWOOD CT
NEW CASTLE
DE
197201383
Provider Mailing Phone/Fax
| Phone: | 3022207058 |
| Fax: |