Most Relevant Information
Provider Data
NPI Number: | 1003558230 |
Provider Name: | MICHELE HOLMAN COTA |
Entity Type: | Individual |
Taxonomy Code: | 224Z00000X |
Specialty: | Occupational Therapy Assistant |
License Number: | 215457 |
Most Important Dates
Enumeration Date: | 04/08/2022 |
Last Updated: | 04/08/2022 |
Provider Practice Location
139 ESTRELLA XING
GEORGETOWN
TX
786287055
Practice Location Phone/Fax
Phone: | 6238106056 |
Fax: |
Provider Mailing Location
1245 NARANJO DR
GEORGETOWN
TX
786284031
Provider Mailing Phone/Fax
Phone: | 6238106056 |
Fax: |