Most Relevant Information
Provider Data
| NPI Number: | 1003395336 |
| Provider Name: | MARSHA G TRIETSCH COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0019X |
| Specialty: | Occupational Therapist |
| License Number: | 206458 |
Most Important Dates
| Enumeration Date: | 08/08/2018 |
| Last Updated: | 08/08/2018 |
Provider Practice Location
820 SMALL ST
GRAND PRAIRIE
TX
750505856
Practice Location Phone/Fax
| Phone: | 9722621351 |
| Fax: |
Provider Mailing Location
820 SMALL ST
GRAND PRAIRIE
TX
750505856
Provider Mailing Phone/Fax
| Phone: | 9722621351 |
| Fax: |