Healthcare Provider Details

I. General information

NPI: 1477485704
Provider Name (Legal Business Name): ALEXIA MONAY KEMP COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 HOLLYWOOD BLVD STE 600
HOLLYWOOD FL
33021-6863
US

IV. Provider business mailing address

401 BIG BRANCH LN
WENDELL NC
27591-6861
US

V. Phone/Fax

Practice location:
  • Phone: 800-706-2378
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: