Healthcare Provider Details

I. General information

NPI: 1992514293
Provider Name (Legal Business Name): DEBORAH TURNER COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31830 RYAN RD
WARREN MI
48092-3767
US

IV. Provider business mailing address

7635 ASHTON AVE
DETROIT MI
48228-3450
US

V. Phone/Fax

Practice location:
  • Phone: 586-977-6700
  • Fax:
Mailing address:
  • Phone: 586-563-3398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number520023784
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number5202003784
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: