Most Relevant Information
Provider Data
| NPI Number: | 1003595596 |
| Provider Name: | NICHOLAS DEVIN FRANKLIN COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5325 |
Most Important Dates
| Enumeration Date: | 07/13/2023 |
| Last Updated: | 07/13/2023 |
Provider Practice Location
7356 NEW CASTLE RD
MORRIS
AL
351162057
Practice Location Phone/Fax
| Phone: | 2055149852 |
| Fax: |
Provider Mailing Location
7356 NEW CASTLE RD
MORRIS
AL
351162057
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |