Most Relevant Information
Provider Data
| NPI Number: | 1003394867 |
| Provider Name: | KATELIN B CLIFTON COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/03/2018 |
| Last Updated: | 08/03/2018 |
Provider Practice Location
101 CLEVELAND AVE STE D
MARTINSVILLE
VA
24112
Practice Location Phone/Fax
| Phone: | 2763524465 |
| Fax: |
Provider Mailing Location
101 CLEVELAND AVE STE D
MARTINSVILLE
VA
241123700
Provider Mailing Phone/Fax
| Phone: | 2763524465 |
| Fax: |