Most Relevant Information
Provider Data
| NPI Number: | 1003644857 |
| Provider Name: | ELIZABETH SOSA COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 218248 |
Most Important Dates
| Enumeration Date: | 07/23/2024 |
| Last Updated: | 07/23/2024 |
Provider Practice Location
5901 OURAY RD NW
ALBUQUERQUE
NM
871201381
Practice Location Phone/Fax
| Phone: | 5058360023 |
| Fax: |
Provider Mailing Location
681 LONGHOLLOW RD
DALE
TX
786162904
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |