Most Relevant Information
Provider Data
| NPI Number: | 1003379470 |
| Provider Name: | CORA ANN FARRISH COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5202002793 |
Most Important Dates
| Enumeration Date: | 04/11/2019 |
| Last Updated: | 04/11/2019 |
Provider Practice Location
350 N CENTER ST
LOWELL
MI
493311212
Practice Location Phone/Fax
| Phone: | 6168978473 |
| Fax: |
Provider Mailing Location
350 N CENTER ST
LOWELL
MI
493311212
Provider Mailing Phone/Fax
| Phone: | 6168978473 |
| Fax: |