Healthcare Provider Details

I. General information

NPI: 1831382225
Provider Name (Legal Business Name): DONNA FINLEY ROBINSON COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRINITY REHAB 13 NORTHTOWN DR SUITE 110
JACKSON MS
39211
US

IV. Provider business mailing address

PO BOX 315 TRINITY REHAB
RIDGELAND MS
39158-0315
US

V. Phone/Fax

Practice location:
  • Phone: 601-206-9195
  • Fax: 601-957-8391
Mailing address:
  • Phone: 601-206-9195
  • Fax: 601-957-8391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberTA1294
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: