Healthcare Provider Details

I. General information

NPI: 1134044415
Provider Name (Legal Business Name): LENAYA DAWN HEFNER COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W H AVE
NORTH LITTLE ROCK AR
72116-8733
US

IV. Provider business mailing address

2703 MAGNUM CV
BRYANT AR
72022-7529
US

V. Phone/Fax

Practice location:
  • Phone: 501-772-3224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: