Healthcare Provider Details

I. General information

NPI: 1205236213
Provider Name (Legal Business Name): MARIA ROSE ZILLER COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR DEPARTMENT OF PT/OT
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR DEPARTMENT OF PT/OT
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-4344
  • Fax: 919-843-0032
Mailing address:
  • Phone: 919-966-4344
  • Fax: 919-843-0032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number8792
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: