Healthcare Provider Details

I. General information

NPI: 1720573306
Provider Name (Legal Business Name): ALLISON ROSE COTTO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON ROSE MCGINNIS MSC, OTR/L

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 CANDLELIGHT BLVD
BROOKSVILLE FL
34601-3009
US

IV. Provider business mailing address

1251 CANDLELIGHT BLVD
BROOKSVILLE FL
34601-3009
US

V. Phone/Fax

Practice location:
  • Phone: 352-251-0521
  • Fax:
Mailing address:
  • Phone: 352-251-0521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT19366
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: