Healthcare Provider Details

I. General information

NPI: 1376254284
Provider Name (Legal Business Name): JENNA LYNN STROMER COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7818 BIG SKY DR
MADISON WI
53719
US

IV. Provider business mailing address

W2765 BROOKHAVEN DR
APPLETON WI
54915
US

V. Phone/Fax

Practice location:
  • Phone: 608-709-7070
  • Fax:
Mailing address:
  • Phone: 920-639-2414
  • 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: