Most Relevant Information
Provider Data
| NPI Number: | 1003474313 |
| Provider Name: | AMANDA TEUSCH COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 32002095A |
Most Important Dates
| Enumeration Date: | 06/01/2019 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
9909 E 100 S
GREENTOWN
IN
469369163
Practice Location Phone/Fax
| Phone: | 7656280605 |
| Fax: |
Provider Mailing Location
1225 N JEFFERSON ST
HUNTINGTON
IN
467501849
Provider Mailing Phone/Fax
| Phone: | 2603663086 |
| Fax: |