Most Relevant Information
Provider Data
| NPI Number: | 1003371543 |
| Provider Name: | LEAH KAY BEARD COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 715467 |
Most Important Dates
| Enumeration Date: | 02/08/2019 |
| Last Updated: | 02/08/2019 |
Provider Practice Location
23775 KINGWOOD PLACE DR
KINGWOOD
TX
773393817
Practice Location Phone/Fax
| Phone: | 2813182600 |
| Fax: |
Provider Mailing Location
31635 TRAILS PARK LN
CONROE
TX
773857574
Provider Mailing Phone/Fax
| Phone: | 8327971401 |
| Fax: |