Most Relevant Information
Provider Data
| NPI Number: | 1003652819 |
| Provider Name: | JULIE ANN ORTH COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 200118 |
Most Important Dates
| Enumeration Date: | 07/02/2024 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
9751 REGENT AVE N
BROOKLYN PARK
MN
554431402
Practice Location Phone/Fax
| Phone: | 7634937033 |
| Fax: | 7633915813 |
Provider Mailing Location
1660 HIGHWAY 100 S STE 103
SAINT LOUIS PARK
MN
554161599
Provider Mailing Phone/Fax
| Phone: | 7634937033 |
| Fax: |