Most Relevant Information
Provider Data
| NPI Number: | 1003416835 |
| Provider Name: | COLLEEN HERMANN COTA-L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 001434 |
Most Important Dates
| Enumeration Date: | 10/30/2020 |
| Last Updated: | 10/30/2020 |
Provider Practice Location
584 LONG HILL AVE
SHELTON
CT
064844810
Practice Location Phone/Fax
| Phone: | 2039448252 |
| Fax: | 2039448297 |
Provider Mailing Location
63 NEW ST APT 1
NAUGATUCK
CT
067702741
Provider Mailing Phone/Fax
| Phone: | 2035211552 |
| Fax: |