Most Relevant Information
Provider Data
| NPI Number: | 1003540832 |
| Provider Name: | CHASTITY MICHELE COLEMAN COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 001486 |
Most Important Dates
| Enumeration Date: | 07/16/2022 |
| Last Updated: | 07/16/2022 |
Provider Practice Location
3126 CEDARTOWN HWY SW
ROME
GA
301613773
Practice Location Phone/Fax
| Phone: | 7062950014 |
| Fax: |
Provider Mailing Location
3126 CEDARTOWN HWY SW
ROME
GA
301613773
Provider Mailing Phone/Fax
| Phone: | 7062950014 |
| Fax: |