Most Relevant Information
Provider Data
| NPI Number: | 1003428277 |
| Provider Name: | KYLIE ROSE WILKINS COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 010614 |
Most Important Dates
| Enumeration Date: | 08/19/2020 |
| Last Updated: | 11/03/2020 |
Provider Practice Location
5285 LEWISTON RD
LEWISTON
NY
140921942
Practice Location Phone/Fax
| Phone: | 7162982900 |
| Fax: |
Provider Mailing Location
40 CHARLESTON AVE
KENMORE
NY
142172936
Provider Mailing Phone/Fax
| Phone: | 7168800155 |
| Fax: |