Most Relevant Information
Provider Data
| NPI Number: | 1003407479 |
| Provider Name: | JOSUE SANDOVAL COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA5370 |
Most Important Dates
| Enumeration Date: | 01/28/2021 |
| Last Updated: | 01/28/2021 |
Provider Practice Location
1625 OAK PARK BLVD
PLEASANT HILL
CA
945234487
Practice Location Phone/Fax
| Phone: | 9259355222 |
| Fax: |
Provider Mailing Location
9220 GAMBIER CT
SACRAMENTO
CA
958291568
Provider Mailing Phone/Fax
| Phone: | 9165990878 |
| Fax: |