Healthcare Provider Details

I. General information

NPI: 1770905689
Provider Name (Legal Business Name): CHRISTINE LYNN HUFF COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE LYNN JONES COTA

II. Dates (important events)

Enumeration Date: 01/11/2014
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1697 NORTHWOODS DR
ALGER MI
48610-8302
US

IV. Provider business mailing address

1697 NORTHWOODS DR
ALGER MI
48610-8302
US

V. Phone/Fax

Practice location:
  • Phone: 618-535-0209
  • Fax:
Mailing address:
  • Phone: 618-535-0209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number057003193
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number2010005287
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number5202010143
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: