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: |