Most Relevant Information
Provider Data
| NPI Number: | 1003517681 |
| Provider Name: | JENNIFER SUSANN ADKINS COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 2010022934 |
Most Important Dates
| Enumeration Date: | 03/13/2023 |
| Last Updated: | 03/13/2023 |
Provider Practice Location
7068 S OUTER 364
O FALLON
MO
633687757
Practice Location Phone/Fax
| Phone: | 6362406100 |
| Fax: |
Provider Mailing Location
22731 HAWK RIDGE RD
WARRENTON
MO
633836631
Provider Mailing Phone/Fax
| Phone: | 6363596433 |
| Fax: |