Most Relevant Information
Provider Data
NPI Number: | 1003382466 |
Provider Name: | SAMANTHA TRUSCOTT COTA |
Entity Type: | Individual |
Taxonomy Code: | 224Z00000X |
Specialty: | Occupational Therapy Assistant |
License Number: | OTA-046666 |
Most Important Dates
Enumeration Date: | 10/23/2018 |
Last Updated: | 10/23/2018 |
Provider Practice Location
4309 E FLORIAN AVE
MESA
AZ
852062798
Practice Location Phone/Fax
Phone: | 4807572253 |
Fax: |
Provider Mailing Location
4309 E FLORIAN AVE
MESA
AZ
852062798
Provider Mailing Phone/Fax
Phone: | 4807572253 |
Fax: |