Healthcare Provider Details

I. General information

NPI: 1316605835
Provider Name (Legal Business Name): LAUREN RUHL COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 SW 1ST ST
MIAMI FL
33135-2202
US

IV. Provider business mailing address

36 NW 6TH AVE APT 1009
MIAMI FL
33128-1586
US

V. Phone/Fax

Practice location:
  • Phone: 305-541-5400
  • Fax:
Mailing address:
  • Phone: 954-598-3735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOTA17040
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: