=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962135350
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH A OWENS COTA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/05/2022
-----------------------------------------------------
Last Update Date | 05/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17605 NASSAU COMMONS BLVD STE B
-----------------------------------------------------
City | LEWES
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19958-6256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-674-3350
-----------------------------------------------------
Fax | 928-752-3350
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17605 NASSAU COMMONS BLVD STE B
-----------------------------------------------------
City | LEWES
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19958-6256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-674-3350
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
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 | U2-0001783
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------