MEDICARE: ANQUANETTE EVETTE NETHERLY 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	210097	TX

General Provider Information

NPI Number	:	1619458239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANQUANETTE EVETTE NETHERLY COTA

Provider Business Mailing Address
First Line	:	PO BOX 1467
Second Line	:
City	:	CENTER
State	:	TX
Zip	:	75935-1467
Country	:	US
Telephone Number	:	936-564-1138
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 NW STALLINGS DR
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75964-3847
Country	:	US
Telephone Number	:	936-564-1138
Fax Number	:

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

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	08/22/2018

Similar Medicare Providers

1033183850 — BMW HEALTHCARE, INC
Practice Location Address:

611 NW STALLINGS DR
NACOGDOCHES, TX
75964-3847

Practice Phone: 936-564-1138
Practice Fax: 936-564-1287

1942397047 — PINNACLE HEALTH FACILITIES XV LP
Practice Location Address:

611 NW STALLINGS DR
NACOGDOCHES, TX
75964-3847

Practice Phone: 936-564-1138
Practice Fax: 936-564-1287

1821922923 — MCKENZIE ANN LEBLANC
Practice Location Address:

1412 W MCLEMORE CT
NACOGDOCHES, TX
75964-2651

Practice Phone: 936-888-1070
Practice Fax:

1497225825 — ASHLEIGH CLARK
Practice Location Address:

1108 SOUTH ST
NACOGDOCHES, TX
75964-5986

Practice Phone: 936-560-3097
Practice Fax: 936-462-8495

1104877901 — DEBRA E MCCARTHY CNM
Practice Location Address:

1108 SOUTH ST
NACOGDOCHES, TX
75964-5986

Practice Phone: 936-560-3097
Practice Fax: 936-462-8495

1437106960 — ARBOR ASSISTED LIVING, LP
Practice Location Address:

3002 WESTWARD DR
NACOGDOCHES, TX
75964-1232

Practice Phone: 936-560-1272
Practice Fax: 936-560-1682

Directions to “ ANQUANETTE EVETTE NETHERLY COTA” 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.