Most Relevant Information
Provider Data
| NPI Number: | 1003669755 |
| Provider Name: | ANDRIA LEIGH CONNOR COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5202008061 |
Most Important Dates
| Enumeration Date: | 04/10/2024 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
3820 VALLEY DR
METAMORA
MI
484559714
Practice Location Phone/Fax
| Phone: | 9049471919 |
| Fax: |
Provider Mailing Location
3820 VALLEY DR
METAMORA
MI
484559714
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |