Most Relevant Information
Provider Data
| NPI Number: | 1003386046 |
| Provider Name: | TAMMY L BUNGER COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 2015008256 |
Most Important Dates
| Enumeration Date: | 12/03/2018 |
| Last Updated: | 12/03/2018 |
Provider Practice Location
330 N GORE AVE
WEBSTER GROVES
MO
631191600
Practice Location Phone/Fax
| Phone: | 3149682060 |
| Fax: |
Provider Mailing Location
2648 ELKHILL DR
SAINT LOUIS
MO
631254111
Provider Mailing Phone/Fax
| Phone: | 3146988077 |
| Fax: |