=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427281237
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PATRICIA ANN SATTERFIELD COTA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/26/2009
-----------------------------------------------------
Last Update Date | 08/26/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1250 BROADWAY
-----------------------------------------------------
City | SONOMA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95476-7500
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-939-0900
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 600 N WESTSHORE BLVD SUITE 601
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33609-1140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-371-3418
-----------------------------------------------------
Fax | 800-719-7035
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 224Z00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapy Assistant
-----------------------------------------------------
License Number | 1608
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------