Most Relevant Information
Provider Data
| NPI Number: | 1003832106 |
| Provider Name: | LISA HENDERSON COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 003324 |
Most Important Dates
| Enumeration Date: | 07/14/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
176 GRAND ST
WHITE PLAINS
NY
106014803
Practice Location Phone/Fax
| Phone: | 9143288077 |
| Fax: | 9143286083 |
Provider Mailing Location
176 GRAND ST
WHITE PLAINS
NY
106014803
Provider Mailing Phone/Fax
| Phone: | 9143288077 |
| Fax: | 9143286083 |