Healthcare Provider Details

I. General information

NPI: 1699370890
Provider Name (Legal Business Name): AYESHA KAMAL COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. AYESHA MAZHAR ALEEM

II. Dates (important events)

Enumeration Date: 12/03/2020
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16150 NE 85TH ST STE 116
REDMOND WA
98052-3542
US

IV. Provider business mailing address

22525 NE 14TH DR
SAMMAMISH WA
98074-6824
US

V. Phone/Fax

Practice location:
  • Phone: 425-881-1921
  • Fax:
Mailing address:
  • Phone: 206-403-8830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number61005479
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.OT.70157321
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: