Healthcare Provider Details

I. General information

NPI: 1730091018
Provider Name (Legal Business Name): ASHTON BABCOCK COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 STUBBS AVE
MONROE LA
71201-5629
US

IV. Provider business mailing address

235 COVERDALE LN
WEST MONROE LA
71291-8766
US

V. Phone/Fax

Practice location:
  • Phone: 318-388-8414
  • Fax: 318-388-8558
Mailing address:
  • Phone: 318-537-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number334885
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: