Healthcare Provider Details

I. General information

NPI: 1447468707
Provider Name (Legal Business Name): CATHERINE IRENE BEHRENT COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 S ALTON WAY SUITE B-110
CENTENNIAL CO
80112-2201
US

IV. Provider business mailing address

7981 POPLAR ST
COMMERCE CITY CO
80022-1223
US

V. Phone/Fax

Practice location:
  • Phone: 720-489-0790
  • Fax: 720-489-0848
Mailing address:
  • Phone: 303-286-9745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number01943
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number10449
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number0000432
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: