MEDICARE: MS. JENNIFER J RYAN COTA/L

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	0131000140	VA

General Provider Information

NPI Number	:	1457584930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER J RYAN COTA/L

Provider Business Mailing Address
First Line	:	2400 HEXALL CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-6511
Country	:	US
Telephone Number	:	757-426-1610
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 HEXALL CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-6511
Country	:	US
Telephone Number	:	757-426-1610
Fax Number	:

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

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	08/31/2009

Similar Medicare Providers

1720933070 — CARRIN FRANCIS SPALDING MA, OTR/L
Practice Location Address:

9921 SILVER STRAND DR
HUNTINGTON BEACH, CA
92646-6511

Practice Phone: 714-264-0967
Practice Fax:

1629062096 — DR. AHMED SADEK D.D.S.
Practice Location Address:

6511 E PACIFIC COAST HWY # G-3
LONG BEACH, CA
90803-4248

Practice Phone: 562-431-3636
Practice Fax:

1710105028 — MR. STEPHEN PETER PANCZAK R.NDT
Practice Location Address:

1852 BELL LN
WEST PALM BEACH, FL
33406-6511

Practice Phone: 561-627-2210
Practice Fax: 561-627-5850

1992972624 — DR. ANTONELLA B ALUZRI PSYCHOLOGIST
Practice Location Address:

6511 E WALKERTON ST , 6511 E WALKERTON ST.
LONG BEACH, CA
90808-2423

Practice Phone: 310-713-5342
Practice Fax:

1194039800 — MRS. MELANDY MIA GRIGSBY M. S.
Practice Location Address:

6511 EMERALD DUNES DR APT 208
ROYAL PALM BEACH, FL
33411-2771

Practice Phone: 413-821-4088
Practice Fax:

1962854000 — CHRISTINE TRUONG O.D.
Practice Location Address:

6511 E PACIFIC COAST HWY STE G2B
LONG BEACH, CA
90803-4250

Practice Phone: 562-358-3616
Practice Fax:

Directions to “ MS. JENNIFER J RYAN COTA/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.