Healthcare Provider Details

I. General information

NPI: 1972710952
Provider Name (Legal Business Name): PATRICIA LANDIS COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E LEE HWY
NEW MARKET VA
22844-3103
US

IV. Provider business mailing address

59 E WEAVER AVE
HARRISONBURG VA
22801-3047
US

V. Phone/Fax

Practice location:
  • Phone: 540-740-8041
  • Fax:
Mailing address:
  • Phone: 540-434-6354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: