Healthcare Provider Details

I. General information

NPI: 1316362544
Provider Name (Legal Business Name): MEGAN LYNAE OHLENDORF COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2014
Last Update Date: 02/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7395 W EASTMAN PL
LAKEWOOD CO
80227-5006
US

IV. Provider business mailing address

7395 W EASTMAN PL
LAKEWOOD CO
80227-5006
US

V. Phone/Fax

Practice location:
  • Phone: 720-838-2978
  • Fax: 720-838-2999
Mailing address:
  • Phone: 720-838-2978
  • Fax: 720-838-2999

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: