Healthcare Provider Details

I. General information

NPI: 1497952832
Provider Name (Legal Business Name): SABRA ANN BURNS COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2632 GRANT LINE RD
NEW ALBANY IN
47150-4000
US

IV. Provider business mailing address

1 PIN OAK LN
LOUISVILLE KY
40207-2231
US

V. Phone/Fax

Practice location:
  • Phone: 812-944-9048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number99027352A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: