MEDICARE: HEATHER MOBLEY COTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA16398	FL

General Provider Information

NPI Number	:	1891675708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MOBLEY COTA

Provider Business Mailing Address
First Line	:	105 TRINITY LAKES DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5728
Country	:	US
Telephone Number	:	813-634-3324
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 TRINITY LAKES DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5728
Country	:	US
Telephone Number	:	813-634-3324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	10/24/2025

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Directions to “ HEATHER MOBLEY COTA” Practice Location

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