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General NPI Number Information
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NPI Number | 1396934931
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Entity Type | Individual
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Provider Name | DEBBIE MROZ COTA
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Gender | Female
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 9393 PARK BLVD
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City | SEMINOLE
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State | FL
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Zip | 33777-4140
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Country | US
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Telephone | 813-920-1989
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14223
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City | SURFSIDE BEACH
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State | SC
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Zip | 29587-4223
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Country | US
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Telephone | 843-467-9775
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State | FL
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