Healthcare Provider Details

I. General information

NPI: 1285935395
Provider Name (Legal Business Name): ASHLEY COZENS M.S. OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 NUT TREE RD
VACAVILLE CA
95687-6759
US

IV. Provider business mailing address

2501 NUT TREE RD
VACAVILLE CA
95687-6759
US

V. Phone/Fax

Practice location:
  • Phone: 707-474-9949
  • Fax: 707-474-9949
Mailing address:
  • Phone: 707-474-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number11541
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: