JESSICA BLACK COTA
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1760046973- Provider Type
- Individual Provider (NPI-1)
- Credentials
- COTA
- Status
- Active
Contact & Location
- Address
- 1705 JESS PARRISH CT, TITUSVILLE, FL, 327962158
- Phone
- (321) 269-5720
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: FL #0ta14422
All Addresses
MAILING
1691 HENLEY RD NW
PALM BAY, FL, 329076328