Healthcare Provider Details

I. General information

NPI: 1831000728
Provider Name (Legal Business Name): JULIE LYNNE ENDLY COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 CLAIRMONT AVE
CAMBRIDGE OH
43725-1609
US

IV. Provider business mailing address

7077 GLENN HWY
CAMBRIDGE OH
43725-9006
US

V. Phone/Fax

Practice location:
  • Phone: 740-439-7547
  • Fax:
Mailing address:
  • Phone: 330-308-9939
  • Fax: 866-422-3216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number001365
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: