Most Relevant Information
Provider Data
| NPI Number: | 1003535774 |
| Provider Name: | STACY JEAN COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 474043 |
Most Important Dates
| Enumeration Date: | 08/25/2022 |
| Last Updated: | 08/25/2022 |
Provider Practice Location
15035 FELGATE CREEK DR
HOUSTON
TX
770841470
Practice Location Phone/Fax
| Phone: | 4016608112 |
| Fax: |
Provider Mailing Location
15035 FELGATE CREEK DR
HOUSTON
TX
770841470
Provider Mailing Phone/Fax
| Phone: | 4016608112 |
| Fax: |