(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003464413
Provider Name: ALLIAH M IQBAL COTA
Entity Type: Individual
Taxonomy Code: 224Z00000X
Specialty: Occupational Therapy Assistant
License Number: 057.005234
Most Important Dates
Enumeration Date: 08/28/2019
Last Updated: 08/28/2019
Provider Practice Location
2390 S LOST BRIDGE RD
DECATUR
IL
625214653
Practice Location Phone/Fax
Phone: 2176200687
Fax:
Provider Mailing Location
2390 S LOST BRIDGE RD
DECATUR
IL
625214653
Provider Mailing Phone/Fax
Phone: 2176200687
Fax: