Most Relevant Information
Provider Data
| NPI Number: | 1003506494 |
| Provider Name: | SHANDA NICOLE ABRAHAM COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 10786 |
Most Important Dates
| Enumeration Date: | 05/10/2023 |
| Last Updated: | 05/10/2023 |
Provider Practice Location
1775 BAYHILL DR
OLDSMAR
FL
346771959
Practice Location Phone/Fax
| Phone: | 7273852520 |
| Fax: |
Provider Mailing Location
1775 BAYHILL DR
OLDSMAR
FL
346771959
Provider Mailing Phone/Fax
| Phone: | 7273852520 |
| Fax: |