Most Relevant Information
Provider Data
| NPI Number: | 1003382649 |
| Provider Name: | HEATHER WENDELL COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA002456 |
Most Important Dates
| Enumeration Date: | 10/22/2018 |
| Last Updated: | 10/22/2018 |
Provider Practice Location
775 SUNSET DR
ATHENS
GA
306062211
Practice Location Phone/Fax
| Phone: | 7064251500 |
| Fax: |
Provider Mailing Location
30 CROOKED CREEK WAY
COVINGTON
GA
300166212
Provider Mailing Phone/Fax
| Phone: | 4045133333 |
| Fax: |