Most Relevant Information
Provider Data
| NPI Number: | 1003676586 |
| Provider Name: | GRETCHEN WOLF COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 2937 |
Most Important Dates
| Enumeration Date: | 03/20/2024 |
| Last Updated: | 03/20/2024 |
Provider Practice Location
4933 V ST
SACRAMENTO
CA
958171509
Practice Location Phone/Fax
| Phone: | 9166160465 |
| Fax: |
Provider Mailing Location
4933 V ST
SACRAMENTO
CA
958171509
Provider Mailing Phone/Fax
| Phone: | 9166160465 |
| Fax: |