Healthcare Provider Details

I. General information

NPI: 1316456510
Provider Name (Legal Business Name): SARAH LANDHERR COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH SWOBODA

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 01/03/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14505 W GRANITE VALLEY DR.
SUN CITY WEST AZ
85375
US

IV. Provider business mailing address

805 W ROCKWOOD DR.
PHOENIX AZ
85027
US

V. Phone/Fax

Practice location:
  • Phone: 623-975-8000
  • Fax: 480-242-5903
Mailing address:
  • Phone: 480-242-5903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number6996
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6996
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: