MEDICARE: MS. LAURICA TIANA WOOTEN COTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	219061	TX

General Provider Information

NPI Number	:	1124985890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURICA TIANA WOOTEN COTA

Provider Business Mailing Address
First Line	:	6550 MAPLERIDGE ST STE 214
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4647
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 MAPLERIDGE ST STE 214
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4647
Country	:	US
Telephone Number	:	713-360-7958
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/07/2026

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