Healthcare Provider Details

I. General information

NPI: 1811637077
Provider Name (Legal Business Name): ABIGAIL GIROTE COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 CINNABAR CT
BRANDON FL
33510-2028
US

IV. Provider business mailing address

1717 CINNABAR CT
BRANDON FL
33510-2028
US

V. Phone/Fax

Practice location:
  • Phone: 708-582-9878
  • Fax:
Mailing address:
  • Phone: 708-582-9878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT26530
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: