Most Relevant Information
Provider Data
| NPI Number: | 1003573759 |
| Provider Name: | JENNIFER CODY COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 14410 |
Most Important Dates
| Enumeration Date: | 11/17/2021 |
| Last Updated: | 11/17/2021 |
Provider Practice Location
3420 WAKE FOREST RD
DURHAM
NC
277033522
Practice Location Phone/Fax
| Phone: | 9195969464 |
| Fax: |
Provider Mailing Location
242 MCDOWELL DR
WAKE FOREST
NC
275872568
Provider Mailing Phone/Fax
| Phone: | 5708784426 |
| Fax: |